AVERA DE SMET MEMORIAL HOSPITAL
NPI 1710155460
General Acute Care Hospital - Critical Access in De Smet, SD
NPI Status: Active since February 15, 2008
Contact Information
306 PRAIRIE AVE SW
DE SMET, SD
ZIP 57231
Phone: (605) 854-3329
Fax: (605) 854-3161
- Organization
- General Acute Care Hospital
- Critical Access
- Accepts Insurance
- CLIA Number: 43D0407358
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 03-23-2027
About AVERA DE SMET MEMORIAL HOSPITAL
This page provides the complete NPI Profile along with additional information for Avera De Smet Memorial Hospital, a provider established in De Smet, South Dakota operating as a General Acute Care Hospital, focusing in critical access . The healthcare provider is registered in the NPI registry with number 1710155460 assigned on February 2008. The practitioner's primary taxonomy code is 282NC0060X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Avera De Smet Memorial Hospital. The authorized official of this NPI record is Mr. Douglas Ekeren (President And Cfo)
- NPI
- 1710155460
- Provider Legal Name
- AVERA QUEEN OF PEACE
- Other Organization Name
- AVERA DE SMET MEMORIAL HOSPITAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 306 PRAIRIE AVE SW DE SMET, SD 57231
- Location Phone
- (605) 854-3329
- Location Fax
- (605) 854-3161
- Mailing Address
- 525 N FOSTER ST MITCHELL, SD 57301
- Mailing Phone
- (605) 995-2000
- Mailing Fax
- (605) 854-3161
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-15-2008
- Last Update Date
- 08-06-2020
- Code Navigator
Location Map
Secondary Locations
- 801 3rd St SW
DE Smet, SD 57231
(605) 854-3834
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Acute Care Hospital Critical Access
- Taxonomy Code
- 282NC0060X
- Type
- Hospitals
- License State
- SD
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Avera Direct $2000 - HMO
- Avera Direct $4500 - HMO
- Avera Direct $6000 - HMO
- Avera Direct $7500 HSA Eligible HDHP - HMO
- Avera Direct MyWeighForward $1800 - HMO
- Avera Direct MyWeighForward $4000 - HMO
- Avera Direct Standard $1500 - HMO
- Avera Direct Standard $5000 - HMO
- Avera Direct Standard $7500 - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
- Wellmark Bronze HDHP EPO HSA Qualified - EPO
- Wellmark Bronze Traditional EPO - EPO
- Wellmark Gold Traditional EPO - EPO
- Wellmark Silver Traditional EPO - EPO
- Wellmark Standard Bronze EPO - EPO
- Wellmark Standard Gold EPO - EPO
- Wellmark Standard Silver EPO - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0100860 | MEDICAID (05) | SD | |
| 5500860 | MEDICAID (05) | SD |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 43D0407358
- Facility Type
- Hospital
- Certificate Effective Date
- March 24, 2025
- Certificate Expiration Date
- March 23, 2027
- Laboratory Director
- RACHEL STARKS
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Avera De Smet Memorial Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for AVERA DE SMET MEMORIAL HOSPITAL
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 1 | 5 | 5 | 4 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 2 | 5 | 10 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 2 + 5 + 1 + 0 + 4 + 1 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1710155460 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1841271186 | HURON REGIONAL MEDICAL CENTER Organization | General Acute Care Hospital (Critical Access) | 306 PRAIRIE AVE SW DE SMET, SD 57231 (605) 854-3329 |
| 1679635239 | HURON REGIONAL MEDICAL CENTER Organization | Medicare Defined Swing Bed Unit | 306 PRAIRIE AVE SW DE SMET, SD 57231 (605) 854-3329 |
| 1255500534 | AVERA QUEEN OF PEACE Organization | Medicare Defined Swing Bed Unit | 306 PRAIRIE AVE SW DE SMET, SD 57231 (605) 854-3329 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710155460, enumerated in the NPI registry as an "organization" on February 15, 2008
The provider is located at 306 Prairie Ave Sw De Smet, Sd 57231 and the phone number is (605) 854-3329
This medical organization specializes in General Acute Care Hospital with taxonomy code 282NC0060X with a focus in Critical Access
The provider might be accepting Accepts: Avera Health Plans, Medica, Wellmark of South. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 43D0407358 for a "hospital" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on February 15, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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