NPIMap

Organization Active NPI

St Benedict Health Center

Doing business as Avera St Benedict CRHC Tripp

  • Family Medicine Physician
  • Tripp, SD
National Provider Identifier
1396327698
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST BENEDICT HEALTH CENTER
Doing business as
Avera St Benedict CRHC Tripp
Practice address
310 S Main St
Tripp, SD 57376-2154
Phone
(605) 935-7211
Fax
(605) 935-7212
NPI assigned
Apr 26, 2021
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Lindsay WeberNPI 1770867715
Title
Ceo/President
Phone
(605) 928-3311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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

310 S Main St
Tripp, SD 57376-2154

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 CRHC Tripp Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Benedict Health Cent18 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

Locations

310 S Main St
Tripp, SD 57376
Phone (605) 935-6089

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1396327698",
    "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": "310 S MAIN ST",
            "city": "TRIPP",
            "state": "SD",
            "postal_code": "573762154",
            "telephone_number": "605-935-7211",
            "fax_number": "605-935-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BENEDICT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-26",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "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 CRHC Tripp",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera St Benedict CRHC Tripp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tripp, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.