AVERA MCKENNAN NPI 1295747608

NPI Information

NPI: 1295747608
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA FLANDREAU HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
214 N PRAIRIE ST
FLANDREAU, SD
ZIP 57028
Phone: (605) 997-2433
Get Directions

AVERA MCKENNAN is a critical access general acute care hospital in Flandreau, SD. AVERA MCKENNAN NPI is 1295747608. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Flandreau Hospital.

The provider's business location address is:

214 N PRAIRIE ST
FLANDREAU, SD
ZIP 57028-243
Phone: (605) 997-2433
Fax: (605) 997-3611

The provider's authorized official is Ronald Joseph Place .
The authorized official title is President/ceo and has the following contact phone number (605) 322-7903.

The CLIA number assigned to this NPI record is 43D0406836 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 10/4/2023.

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	282NC0060X	General Acute Care Hospital	Critical Access	10540	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	Other Provider Identifier Issuer
1	0587261	MEDICAID	IOWA
2	1295747608	MEDICAID	WYOMING
3	80484900	MEDICAID	WISCONSIN
4	5500412	MEDICAID	SOUTH DAKOTA
5	0100412	MEDICAID	SOUTH DAKOTA
6	10025183900	MEDICAID	NEBRASKA
7	1778HFL	OTHER	MINNESOTA	MN BLUE CROSS PROV#
8	192355200	MEDICAID	MINNESOTA
9	01592	MEDICAID	NORTH DAKOTA
10	4103188	MEDICAID	MONTANA
11	00B2896	MEDICAID	NEW MEXICO
12	202619	MEDICAID	ARIZONA
13	1295747608	MEDICAID	MICHIGAN
14	81310	OTHER	SOUTH DAKOTA	SD BLUE CROSS HOSP PROV#

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: 5/5/2024

NPI Synchronization or Removal

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