NPIMap

Organization Active NPI

St Benedict Health Center

  • Skilled Nursing Facility
  • Parkston, SD
National Provider Identifier
1922196385
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10660 Issued in SD
Legal business name
ST BENEDICT HEALTH CENTER
Practice address
401 W Glynn Drive
Parkston, SD 57366
Phone
(605) 928-3311
Fax
(605) 928-7368
NPI assigned
Oct 11, 2006
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
Lindsay R Weber
Title
Ceo
Phone
(605) 928-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 10660 SD Primary

Addresses

Primary practice location

401 W Glynn Drive
Parkston, SD 57366

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0151260MedicaidSD

Other names 1

  • Avera Bormann Manor 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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1922196385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W GLYNN DRIVE",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "57366",
            "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 DRIVE",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "57366",
            "telephone_number": "605-928-3311",
            "fax_number": "605-928-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST BENEDICT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "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"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SD",
            "license": "10660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151260",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Bormann Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Bormann Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parkston, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.