ST. BENEDICT HEALTH CENTER NPI 1114931797

NPI Information

NPI: 1114931797
Provider Name: ST. BENEDICT HEALTH CENTER
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: AVERA ST. BENEDICT CERTIFIED RURAL HEALTH CLINIC, LAKE ANDES
Address: 756 EAST LAKE STREET
LAKE ANDES, SD
ZIP 57356
Phone: (605) 487-7878

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NPI Details

ST. BENEDICT HEALTH CENTER is a rural health clinic center in Lake Andes, SD. ST. BENEDICT HEALTH CENTER NPI is 1114931797. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera St. Benedict Certified Rural Health Clinic, Lake Andes.

The provider's business location address is:

756 EAST LAKE STREET
LAKE ANDES, SD
ZIP 57356
Phone: (605) 487-7878
Fax: (605) 487-9566

The provider's authorized official is Lindsay R Weber .
The authorized official title is Ceo and has the following contact phone number (605) 928-3311.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 11/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				No
2	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5340060	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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