Avera McKennan

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

43-Z338 Issued in SD

Legal business name

AVERA MCKENNAN

Doing business as

Avera Gregory Hospital Swing Bed

Practice address

400 Park Ave
Gregory, SD 57533-1302

Phone

(605) 835-9394

Fax

(605) 835-9422

NPI assigned

Apr 24, 2012

Last updated

Oct 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Joseph Place, MD

Title

President/Ceo

Phone

(605) 322-7903

Specialties & licenses 1

Addresses

Other names 1

• Avera Gregory Hospital Swing Bed Doing business as

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.

• Avera McKennan

  dba Avera 7th Avenue Pharmacy

  • Community/Retail Pharmacy
  • Sioux Falls, SD
  • NPI 1316463219
  NPD tax ID
• Avera McKennan

  dba Milbank Area Hospital/Avera Health- Swingbed

  • Medicare Defined Swing Bed Hospital Unit
  • Milbank, SD
  • NPI 1326154220
  NPD tax ID
• Avera McKennan

  dba Avera Gregory Hospital

  • Physical Therapy Clinic/Center
  • Gregory, SD
  • NPI 1326495409
  NPD tax ID
• Avera McKennan

  dba Avera Specialty Pharmacy

  • Specialty Pharmacy
  • Sioux Falls, SD
  • NPI 1346266202
  NPD tax ID
• Avera McKennan

  dba Avera McKennan Outpatient Therapy Services - Brandon

  • Physical Therapy Clinic/Center
  • Brandon, SD
  • NPI 1346494697
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group McGreevy Dawley Farm

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1346512266
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Palliative Medicine Sioux Falls

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Sioux Falls, SD
  • NPI 1356629497
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Kennebec Area

  • Family Medicine Physician
  • Kennebec, SD
  • NPI 1356788491
  NPD tax ID
• Avera McKennan

  dba Avera Healthworks

  • Occupational Medicine Clinic/Center
  • Sioux Falls, SD
  • NPI 1376662825
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Integrative Medicine Sioux Falls

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1386081883
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Colton

  • Family Medicine Physician
  • Colton, SD
  • NPI 1386793776
  NPD tax ID
• Avera McKennan

  dba Avera Dermatology Pharmacy

  • Community/Retail Pharmacy
  • Sioux Falls, SD
  • NPI 1407141344
  NPD tax ID

Locations

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1417215740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PARK AVE",
            "address_2": "PO BOX 408",
            "city": "GREGORY",
            "state": "SD",
            "postal_code": "575331302",
            "telephone_number": "605-835-9394",
            "fax_number": "605-835-9422"
        },
        {
            "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": "605-835-9394",
            "fax_number": "605-835-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MCKENNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "PLACE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "605-322-7903",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "SD",
            "license": "43-Z338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Gregory Hospital Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Gregory Hospital Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avera at Home (Avera@Home)
• Avera Gregory
• Avera McKennan (Avera Gregory Dialysis Unit)
• Avera McKennan (Avera Gregory Hospital)
• Avera McKennan (Avera Gregory Hospital)
• Avera McKennan (Avera Medical Group Gregory)
• Avera McKennan (Avera Gregory Home Health)
• Avera McKennan (Avera Rosebud Country Care Center)
• Melissa Bartling, M.D.
• Braun Chiropractic Center

• Medicare Defined Swing Bed Hospital Unit in Gregory, SD
• Providers in Gregory, SD by specialty
• Medicare Defined Swing Bed Hospital Unit in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.