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  • 431507
CCN: 431507 NPI: 1124023825 Organization

Avera @ Home

1115 E 5TH AVE
MITCHELL, SD 573012917

Contact Information

  • Phone 6059952268
  • Fax 6059955624
  • Enumeration Date 2005-06-17
  • Last Updated 2020-07-01

Taxonomies

  • Code: 315D00000X (Primary) License State: SD License: N/A

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 6
cbsaActualGeographicLocation 99943
providerType 35
censusDivision 6
cbsaActualGeographicLocation 99943
providerType 35
censusDivision 0
cbsaActualGeographicLocation 99943
providerType 35
censusDivision 0
cbsaActualGeographicLocation 99943
providerType 35
censusDivision 0
cbsaActualGeographicLocation 99943
providerType 35
censusDivision 0
cbsaActualGeographicLocation 99943
providerType 35
censusDivision 0
cbsaActualGeographicLocation 99943
providerType 35
censusDivision 0
cbsaActualGeographicLocation 99943
providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 99943
providerType 35
specialPaymentIndicator
carrierCode 03402
localityCode 02
cbsaActualGeographicLocation 43
providerType 35
operatingCostToChargeRatio 1.0
specialPaymentIndicator
carrierCode 03402
localityCode 02
cbsaActualGeographicLocation 43
providerType 35
operatingCostToChargeRatio 1.0
specialPaymentIndicator
carrierCode 03402
localityCode 02
cbsaActualGeographicLocation 43
providerType 35
operatingCostToChargeRatio 1.0
specialPaymentIndicator
carrierCode 03402
localityCode 02
cbsaActualGeographicLocation 43
providerType 35
operatingCostToChargeRatio 1.0
specialPaymentIndicator
carrierCode 03402
localityCode 02

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