AVERA MCKENNAN NPI 1710089172

NPI Information

NPI: 1710089172
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA DELLS AREA HOSPITAL SWINGBED

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
909 NORTH IOWA AVE
DELL RAPIDS, SD
ZIP 57022
Phone: (605) 428-5431
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AVERA MCKENNAN is a medicare defined swing bed unit in Dell Rapids, SD. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. AVERA MCKENNAN NPI is 1710089172. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Dells Area Hospital Swingbed.

The provider's business location address is:

909 NORTH IOWA AVE
DELL RAPIDS, SD
ZIP 57022-231
Phone: (605) 428-5431
Fax: (605) 428-3906

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 enumeration date for this NPI number is 9/5/2006 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	275N00000X	Medicare Defined Swing Bed Unit		50754	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	0159800	MEDICAID	SOUTH DAKOTA
2	8B027	OTHER	SOUTH DAKOTA	SD BLUE CROSS SWBED 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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