Avera Gregory Hospital
LBN: Avera Mckennan
Avera Gregory Hospital 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 Hospital Units / Medicare Defined Swing Bed Unit, Hospitals / Critical Access. Hospitals / Critical Access 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:
Authorized official contact:
Name: Place, Ronald Joseph Doctor of Medicine (MD)
Phone: (605) 322-7903
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospital Units / Medicare Defined Swing Bed Unit | 275N00000X | ||
| Hospitals / Critical Access | 282NC0060X | 54875 | South Dakota |
Profile Details
| NPI number | 1275562027 |
|---|---|
| LBN Legal business name | Avera Mckennan |
| DBA Doing business as | Avera Gregory Hospital |
| Authorized official | Place, Ronald Joseph Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275562027 | NPPES |
| South Dakota | MEDICAID | 0100350 | |
| South Dakota | MEDICAID | 0159260 | |
| South Dakota | MEDICAID | 5500350 |
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