NPIMap

Organization Active NPI

Avera McKennan

Doing business as Avera Gregory Hospital

  • Physical Therapy Clinic/Center
  • Gregory, SD
National Provider Identifier
1326495409
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
0345 Issued in SD
Legal business name
AVERA MCKENNAN
Doing business as
Avera Gregory Hospital
Practice address
400 Park Ave
Gregory, SD 57533-1302
Phone
(605) 835-5190
Fax
(605) 835-5479
NPI assigned
May 19, 2016
Last updated
May 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2017

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

Authorized official

Name
Julie Norton
Title
Cfo/SVP
Phone
(605) 322-7818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 0345 SD Primary

Addresses

Primary practice location

400 Park Ave
Gregory, SD 57533-1302

Mailing address

400 Park Ave
Gregory, SD 57533-1302
Phone (605) 835-5190

Other names 1

  • Avera Gregory Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Presentation Health Sys105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496188800000",
    "number": "1326495409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PARK AVE",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331302",
            "telephone_number": "605-835-5190",
            "fax_number": "605-835-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARK AVE",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331302",
            "telephone_number": "605-835-5190",
            "fax_number": "605-835-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MCKENNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2017-05-31",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CFO/SVP",
        "authorized_official_telephone_number": "605-322-7818"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SD",
            "license": "0345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Gregory Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gregory, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.