AVERA MCKENNAN — NPI 1710089172 (Licensed & Credentialed Hospital Units — Medicare Defined Swing Bed Unit in DELL RAPIDS, SD)

CMS-1500 Box 24J / 33a • NPI

1710089172

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

275N00000X (CMS A0[7])

Licensed & Credentialed Hospital Units — Medicare Defined Swing Bed Unit

Box 32 Service Location & ZIP+4

909 NORTH IOWA AVE, DELL RAPIDS, SD, 57022-1231

✓ 9-Digit EDI 837 ZIP+4 (57022-1231)

Practice Phone & Referral Fax

(605) 428-5431

Fax: (605) 428-3906

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1710089172 (AVERA MCKENNAN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1710089172` (NPI-2 Organization / Facility)
Provider / Legal Name	AVERA MCKENNAN
Plain-English Specialty	Licensed & Credentialed Hospital Units — Medicare Defined Swing Bed Unit NUCC Code: `275N00000X` (Medicare Defined Swing Bed Unit)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	909 NORTH IOWA AVE, DELL RAPIDS, SD, 57022-1231
Practice Telephone / Fax	Tel: (605) 428-5431 \| Fax: (605) 428-3906
Administrative Mailing Address	PO BOX 5045 ATTN PRVENROLMT PALM PLACE BLDG, SIOUX FALLS, SD, 57117-5045
Enumeration & Last Sync	Enumerated: 2006-09-05 \| CMS Record Updated: 2023-10-04
Authorized Official	RONALD PLACE (President/CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

909 NORTH IOWA AVE, DELL RAPIDS, SD, 57022-1231

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Plain-English Taxonomy & CMS Crosswalk (275N00000X)

What Does Taxonomy Code 275N00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 275N00000X translates to:
"Licensed & Credentialed Hospital Units — Medicare Defined Swing Bed Unit"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A0[7] (Hospital-Swing Bed Approved)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Medicare Defined Swing Bed Unit for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AVERA MCKENNAN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`275N00000X` — Medicare Defined Swing Bed Unit Plain English: Licensed & Credentialed Hospital Units — Medicare Defined Swing Bed Unit	State: SD \| License: `50754` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AVERA MCKENNAN (NPI #1710089172)