Organization · Type 2 NPI

Avera McKennan

Medicare Defined Swing Bed Hospital Unit · Gregory, SD

NPI number 1417215740 Active

Practice location

400 Park Ave
Gregory, SD 57533-1302

Fax (605) 835-9422

Specialties and licenses

Taxonomy	Code	License
Medicare Defined Swing Bed Hospital Unit Primary	275N00000X	43-Z338 (SD)

Medicare Defined Swing Bed Hospital Unit: A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

8 other providers at this address

NPI record

NPI: 1417215740
Entity type: Organization (Type 2)
Issued: Apr 24, 2012
Last updated: Oct 4, 2023
Status: Active

Other names

<unavail>
Avera Gregory Hospital Swing Bed · doing business as
Avera Gregory Hospital Swing Bed · doing business as

Authorized official

Mr. Ronald Joseph Place, MD
President/ceo
(605) 322-7903

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417215740

Avera McKennan's National Provider Identifier is 1417215740, issued on Apr 24, 2012. The primary taxonomy on file is Medicare Defined Swing Bed Hospital Unit (275N00000X), and the practice location is in Gregory, SD. The record was last updated on Oct 4, 2023.