NPIMap

Organization Active NPI

Avera McKennan

Doing business as Milbank Area Hospital After Hours Clinic

  • Critical Access Hospital Clinic/Center
  • Milbank, SD
National Provider Identifier
1013024009
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
License
48451 Issued in SD
Legal business name
AVERA MCKENNAN
Doing business as
Milbank Area Hospital After Hours Clinic
Practice address
301 Flynn Dr
Milbank, SD 57252-1502
Phone
(605) 432-4538
Fax
(605) 432-5412
NPI assigned
Aug 24, 2006
Last updated
Jan 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie Norton
Title
VP/Cfo
Phone
(605) 322-6375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X 48451 SD Primary

Addresses

Primary practice location

301 Flynn Dr
Milbank, SD 57252-1502

Mailing address

301 Flynn Dr
Milbank, SD 57252-1502
Phone (605) 432-4538

Other names 1

  • Milbank Area Hospital After Hours Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031110000117 SD Part B Supplier - Clinic/Group Practice 0345157103 Receives reassigned benefits from 1,418 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1013024009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 FLYNN DR",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572521502",
            "telephone_number": "605-432-4538",
            "fax_number": "605-432-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FLYNN DR",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572521502",
            "telephone_number": "605-432-4538",
            "fax_number": "605-432-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MCKENNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "605-322-6375"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "SD",
            "license": "48451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milbank Area Hospital After Hours Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milbank, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.