Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wagner Community Memorial Hospital Avera

Organization Clinical Medical Laboratory · NPI 1285964494

Wagner Community Memorial Hospital Avera is a Clinical Medical Laboratory in Wagner, South Dakota. Licensed in South Dakota. Registered with an NPI since 2010.

Licensed in
SD
In the registry since
2010

Practice location Address checks out

513 3rd St SW
Wagner, SD 57380-9675
Phone: (605) 384-3611
Fax: (605) 384-3232
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X · Licence 43D0407563 (SD)

Record details

NPI number1285964494
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Slaba — Ceo · (605) 384-3611
Other names Wagner Community Clinic Avera
NPI enumeratedJanuary 11, 2010
Last updated in NPPESJanuary 11, 2010
Mailing addressPo Box 280, 513 3rd St Sw, Wagner, SD 57380-0280