OrganizationActive
Wagner Community Memorial Hospital Avera
NPI 1285964494 · Clinical Medical Laboratory · Wagner, SD
Wagner Community Memorial Hospital Avera is a Clinical Medical Laboratory organization in Wagner, SD (NPI 1285964494).
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
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
513 3rd St Sw
Wagner, SD 57380-9675
Phone: (605) 384-3611
Fax: (605) 384-3232
Street-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
Frequently asked questions
- What is Wagner Community Memorial Hospital Avera's NPI number?
- Wagner Community Memorial Hospital Avera's National Provider Identifier (NPI) is 1285964494, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wagner Community Memorial Hospital Avera?
- Wagner Community Memorial Hospital Avera is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Wagner Community Memorial Hospital Avera located?
- Wagner Community Memorial Hospital Avera's practice location on file with NPPES is 513 3rd St Sw, Wagner, SD 57380-9675.
- What is Wagner Community Memorial Hospital Avera's phone number?
- The practice phone number listed in the NPPES registry for Wagner Community Memorial Hospital Avera is (605) 384-3611.
- Who is the authorized official for Wagner Community Memorial Hospital Avera?
- The authorized official listed on Wagner Community Memorial Hospital Avera's NPPES record is Bryan Slaba, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wagner Community Memorial Hospital Avera's NPI active?
- Yes — Wagner Community Memorial Hospital Avera's NPI (1285964494) is active in the NPPES registry as of the last update on 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.