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WAGNER COMMUNITY MEMORIAL HOSPITAL AVERA NPI 1285964494


NPI Information

NPI: 1285964494
Provider Name: WAGNER COMMUNITY MEMORIAL HOSPITAL AVERA

Other Name: WAGNER COMMUNITY CLINIC AVERA

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
513 3RD ST SW
WAGNER, SD
ZIP 57380
Phone: (605) 384-3611
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WAGNER COMMUNITY MEMORIAL HOSPITAL AVERA is a clinical medical laboratory in Wagner, SD. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. WAGNER COMMUNITY MEMORIAL HOSPITAL AVERA NPI is 1285964494. The provider is registered as an organization entity type.
The provider Other Name Is Wagner Community Clinic Avera.

The provider's business location address is:

513 3RD ST SW
WAGNER, SD
ZIP 57380-675
Phone: (605) 384-3611
Fax: (605) 384-3232

The provider's authorized official is Bryan Slaba .
The authorized official title is Ceo and has the following contact phone number (605) 384-3611.

The enumeration date for this NPI number is 1/11/2010 and was last updated on 1/11/2010.


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
1291U00000XClinical Medical Laboratory43D0407563SOUTH DAKOTAYes

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

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