Avera Gregory Dialysis Unit

LBN: Avera Mckennan
Avera Gregory Dialysis Unit is an health care organization with primary practice located at 110 S Logan Ave , Gregory SD 57533-1614. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, Hospitals / Critical Access. Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment is the primary health care specialty. Avera Mckennan can be contacted via phone (605) 835-8394, or through Place, Ronald Joseph via phone (605) 322-7903.

Contact Information

Primary practice address
110 S Logan Ave Gregory SD 57533-1614
Phone: (605) 835-8394
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Place, Ronald Joseph Doctor of Medicine (MD)
Phone: (605) 322-7903

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X
Hospitals / Critical Access 282NC0060X 54875 South Dakota

Profile Details

NPI number 1255435814
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Gregory Dialysis Unit
Authorized official Place, Ronald Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Oct 4th, 2023 - about last year

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 1255435814 NPPES
South Dakota MEDICAID 5500350

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