OrganizationActive
Wagner Community Memorial Hospital Avera
NPI 1285964494 · Clinical Medical Laboratory · Wagner, SD
Provider details
- NPI number
- 1285964494
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Bryan Slaba, Ceo(605) 384-3611
- License
- 43D0407563 (SD)
Specialties & taxonomies
Laboratories
Practice location
513 3rd St Sw
Wagner, SD 57380-9675
Phone: (605) 384-3611
Fax: (605) 384-3232
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 280
Wagner, SD 57380-0280
Other names (DBA / former)
- Other name
- Wagner Community Clinic Avera
Registry dates
- Enumerated
- 2010-01-11
- Last updated
- 2010-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.