Organization
ST. MICHAEL'S HOSPITAL, INC.
Active
Other names
Bon Homme Family Practice - Avon
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLI DANILKO (CEO)
(605) 589-2152
Entity
Organization
Contact information
Practice address
130 N MAIN STREET, AVON, SD 57315-0064
(605) 589-2100
(605) 589-2115
Mailing address
410 W 16TH AVE, TYNDALL, SD 57066-2318
(605) 589-2100
(605) 589-2115
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4996776
RHC BCBS AVON
SD
05
—
5340152
—
SD
Enumeration date
06/15/2006
Last updated
03/26/2026
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