AVERA HOME MEDICAL EQUIPMENT LLC NPI 1194891168

NPI Information

NPI: 1194891168
Provider Name: AVERA HOME MEDICAL EQUIPMENT, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1001 W 9TH ST
YANKTON, SD
ZIP 57078
Phone: (605) 665-2211
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AVERA HOME MEDICAL EQUIPMENT, LLC is a durable medical equipment medical supplies in Yankton, SD. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. AVERA HOME MEDICAL EQUIPMENT, LLC NPI is 1194891168. The provider is registered as an organization entity type.

The provider's business location address is:

1001 W 9TH ST
YANKTON, SD
ZIP 57078-309
Phone: (605) 665-2211
Fax: (605) 668-8898

The provider's authorized official is Sandra D Dieleman .
The authorized official title is President/ceo and has the following contact phone number (605) 322-1872.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 10/31/2016.

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	332B00000X	Durable Medical Equipment & Medical Supplies		68004=========EST001	SOUTH DAKOTA	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
1	=========02	MEDICAID	NEBRASKA
2	4653210001	MEDICARE NSC	SOUTH DAKOTA
3	9161924	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: 11/14/2023

NPI Synchronization or Removal

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