NPIMap

Organization Active NPI

St Benedict Health Center

Doing business as Avera St. Benedict Health Center

  • Critical Access Hospital
  • Parkston, SD
National Provider Identifier
1356443725
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
50749 Issued in SD
Legal business name
ST BENEDICT HEALTH CENTER
Doing business as
Avera St. Benedict Health Center
Practice address
401 W Glynn Dr
Parkston, SD 57366-9605
Phone
(605) 928-3311
Fax
(605) 928-7368
NPI assigned
Sep 5, 2006
Last updated
Dec 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Ms. Lindsay R WeberNPI 1770867715
Title
Ceo
Phone
(605) 928-3311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 50749 SD Primary

Addresses

Primary practice location

401 W Glynn Dr
Parkston, SD 57366-9605

Mailing address

401 W Glynn Dr
Parkston, SD 57366-9605
Phone (605) 928-3311

Other identifiers 2

IdentifierTypeStateIssuer
5500330MedicaidSD
80033OtherSDWELLMARK BC INPT. & OUTPT

Other names 1

  • Avera St. Benedict Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040129001118 SD Part B Supplier - Clinic/Group Practice 4880507672 Receives reassigned benefits from 27 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Parkston, SD
O20061104000310 SD Part A Provider - Critical Access Hospital 4880507672 Receives reassigned benefits from 21 practitioners
Practice locations: Parkston, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356443725. Details of each certification follow.

Hospital certification: CCN 431330

Legal name
ST BENEDICT HEALTH CENTER
Doing business as
AVERA ST. BENEDICT HEALTH CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2003
Last certification
Jan 15, 2026
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 10, 1966 in SD
Enrollment address
401W Glynn Dr
Parkston, SD 57366-9605
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Avera St Benedict Health Center - CahCCN 431330 · All quality measures
Overall star rating
5 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
St Benedicts Hospital18 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

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patricia Leischner Individual Corporate DirectorBoard Member Jul 1, 2019
Barbara Weidenbach Individual Corporate DirectorBoard Member Jul 1, 2019
Amanda Marie Schutz Individual Corporate OfficerOfficer Billing Services Jun 1, 2018
Patricia Prunty Individual Corporate DirectorBoard Member Jul 1, 2019
Patrick McCann Individual Corporate DirectorBoard Member Jul 1, 2021
Pat Reiner Individual Corporate DirectorBoard Member Jul 1, 2019
Lindsay Rae Weber Individual Corporate OfficerPresident/Ceo Sep 1, 2022
Operational/Managerial Control Sep 1, 2022
Denette Leifeld Individual Corporate DirectorBoard Member Jul 1, 2020
Richard Boettcher Individual Corporate DirectorBoard Member Jul 1, 2019
Julie Lautt Individual Corporate OfficerCfo Mar 1, 2020
Antoinette J Vanderpol Individual Corporate DirectorBoard Member Jul 1, 2019
Bobby Lynn Sutton Individual Corporate DirectorPresident/Ceo Avera Health Jun 18, 2018
Avera Health Organization, Sioux Falls, SD Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2000
Operational/Managerial Control Jul 1, 2000
Robert Just Individual Corporate DirectorBoard Member Jul 1, 2019

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 90

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 90

Practitioners & affiliated clinicians

Practitioners 24

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 24

Affiliated clinicians 38

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1356443725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W GLYNN DR",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "573669605",
            "telephone_number": "605-928-3311",
            "fax_number": "605-928-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W GLYNN DR",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "573669605",
            "telephone_number": "605-928-3311",
            "fax_number": "605-928-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BENEDICT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "SD",
            "license": "50749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5500330",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC INPT. & OUTPT",
            "identifier": "80033",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera St. Benedict Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera St. Benedict Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parkston, SD

Sources for this page

Verify at the official NPI Registry.