Avera Home Medical Equipment, Llc

LBN: Avera Home Medical Equipment, Llc
Avera Home Medical Equipment, Llc is an health care organization with primary practice located at 1508 4Th St Ne , Watertown SD 57201-6824. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Avera Home Medical Equipment, Llc can be contacted via phone (605) 882-3511, or through Dieleman, Sandra D via phone (605) 322-1872.

Contact Information

Primary practice address
1508 4Th St Ne Watertown SD 57201-6824
Phone: (605) 882-3511
Fax: (605) 882-3062
Website:
Map and Directions
Authorized official contact:
Name: Dieleman, Sandra D
Phone: (605) 322-1872

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 14003EST001 South Dakota

Profile Details

NPI number 1144396102
LBN Legal business name Avera Home Medical Equipment, Llc
DBA Doing business as
Authorized official Dieleman, Sandra D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144396102 NPPES
South Dakota MEDICAID 9161926

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