Avera Flandreau Hospital

LBN: Avera Mckennan
Avera Flandreau Hospital is an health care organization with primary practice located at 214 N Prairie St , Flandreau SD 57028-1243. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 997-2433, or through Place, Ronald Joseph via phone (605) 322-7903.

Contact Information

Primary practice address
214 N Prairie St Flandreau SD 57028-1243
Fax: (605) 997-3611
Website:
Authorized official contact:
Name: Place, Ronald Joseph Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 10540 South Dakota

Profile Details

NPI number 1295747608
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Flandreau Hospital
Authorized official Place, Ronald Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2006
Last updated Oct 4th, 2023 - about 2 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 1295747608 NPPES
Iowa MEDICAID 0587261
Iowa MEDICAID 1295747608
Iowa MEDICAID 80484900
Iowa MEDICAID 5500412
Iowa MEDICAID 0100412
Iowa MEDICAID 10025183900
Iowa Other 1778HFL
Iowa MEDICAID 192355200
Iowa MEDICAID 01592
Iowa MEDICAID 4103188
Iowa MEDICAID 00B2896
Iowa MEDICAID 202619
Iowa MEDICAID 1295747608
Iowa Other 81310

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