AVERA MCKENNAN NPI 1275562027

NPI Information

NPI: 1275562027
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA GREGORY HOSPITAL

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

Specialization: Critical Access

Address:
110 S LOGAN AVE
GREGORY, SD
ZIP 57533
Phone: (605) 835-8394
Get Directions

AVERA MCKENNAN is a critical access general acute care hospital in Gregory, SD. AVERA MCKENNAN NPI is 1275562027. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Gregory Hospital.

The provider's business location address is:

110 S LOGAN AVE
GREGORY, SD
ZIP 57533-614
Phone: (605) 835-8394

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 7/2/2006 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				No
2	282NC0060X	General Acute Care Hospital	Critical Access	54875	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	0100350	MEDICAID	SOUTH DAKOTA
2	0159260	MEDICAID	SOUTH DAKOTA
3	5500350	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: 5/5/2024

NPI Synchronization or Removal

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