NPIMap

Organization Active NPI

St Benedict Health Center

  • Family Medicine Physician
  • Lake Andes, SD
National Provider Identifier
1295309698
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST BENEDICT HEALTH CENTER
Practice address
756 E Lake St
Lake Andes, SD 57356-2001
Phone
(605) 487-7878
Fax
(605) 487-9566
NPI assigned
May 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Lindsay R Weber
Title
Ceo
Phone
(605) 928-3311

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

756 E Lake St
Lake Andes, SD 57356-2001

Mailing address

PO Box 5045
PRV Enrlmt Palm Place BLDG
Sioux Falls, SD 57117-5045
Phone (605) 322-6400

Other names 1

  • Avera St Benedict RHC Lake Andes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Benedicts Health Ctr18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1295309698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5045",
            "address_2": "PRV ENRLMT PALM PLACE BLDG",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175045",
            "telephone_number": "605-322-6400",
            "fax_number": "605-322-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 E LAKE ST",
            "city": "LAKE ANDES",
            "state": "SD",
            "postal_code": "573562001",
            "telephone_number": "605-487-7878",
            "fax_number": "605-487-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BENEDICT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-928-3311"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera St Benedict RHC Lake Andes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera St Benedict RHC Lake Andes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Andes, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.