AVERA FLANDREAU HOSPITAL – NPI #1295747608
General Acute Care Hospital

AVERA FLANDREAU HOSPITAL is a general acute care hospital located in FLANDREAU, SD. NPPES has assigned the NPI number 1295747608 to AVERA FLANDREAU HOSPITAL on August 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA FLANDREAU HOSPITAL” is a dba name, the actual legal business name for this organization is AVERA MCKENNAN. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 3 years ago on Oct 04, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERA FLANDREAU HOSPITAL below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1295747608
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVERA MCKENNAN
Doing Business As (dba): AVERA FLANDREAU HOSPITAL
Primary location
214 N PRAIRIE ST
FLANDREAU, SD 57028-1243
Phone: (605) 997-2433 Fax: (605) 997-3611
Mailing address
PO BOX 5045 ATTN PRVENROLMT PALM PLACE BLDG
SIOUX FALLS, SD 57117-5045
Phone: (605) 322-6428 Fax: (605) 322-6499
Organization Subpart
No
Authorized Official
RONALD PLACE
PRESIDENT/CEO
Phone: (605) 322-7903
Updated
Certification Date
Oct 04, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AVERA FLANDREAU HOSPITAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherMN BLUE CROSS PROV#MN1778HFL
otherSD BLUE CROSS HOSP PROV#SD81310
medicaidAZ202619
medicaidIA0587261
medicaidMI1295747608
medicaidMN192355200
medicaidMT4103188
medicaidND01592
medicaidNE10025183900
medicaidNM00B2896
medicaidSD0100412
medicaidSD5500412
medicaidWI80484900
medicaidWY1295747608
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)
SD 10540

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.