OrganizationActive
Avera Home Medical Equipment, LLC
NPI 1578639852 · Durable Medical Equipment & Medical Supplies · Madison, SD
Provider details
- NPI number
- 1578639852
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Sandra Dieleman, President/Ceo(605) 322-1872
- License
- 41002EST001 (SD)
Specialties & taxonomies
Suppliers
Practice location
323 Sw 10th St
Suite 102
Madison, SD 57042-1634
Phone: (605) 256-2783
Fax: (605) 256-9816
Approximate (ZIP-level) locationGet directions
Mailing address
800 E 21st St
Sioux Falls, SD 57105-1016
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.