Avera Mckennan is a Family Medicine in Spencer, Iowa. Avera Mckennan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Avera Mckennan is 1902886567. The last update date is 2012-03-12.
Avera Mckennan's current location address is 116 E 11th St, Spencer, Iowa. You can contact this provider via phone number 7122643500 and fax number 7122643535. The mailing address for Avera Mckennan is 116 E 11th St, Spencer, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera Mckennan |
|---|---|
| Address | 116 E 11th St, Spencer, Iowa |
| Phone Number | 7122643500 |
| Fax Number | 7122643535 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | V.P. FINAN |
|---|---|
| Authorized Official Name | Norton N Julie |
| Telephone Number | 6053226375 |
NPI Number Detail
| NPI Number | 1902886567 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2012-03-12 |
Provider Mailing Address Detail
| Address | 116 E 11th St |
|---|---|
| City | Spencer |
| State | Iowa (IA) |
| Post Code | 513014364 |
| Phone Number | 7122643500 |
| Fax Number | 7122643535 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 252791 | IA | -- |
Post Comment/ Review Below
What is the Avera Mckennan's 1902886567?
The Avera Mckennan's NPI (National Provider Identifier) Number is 1902886567. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Avera Mckennan is located?
The Avera Mckennan is situated at the following address: 116 E 11Th St, Spencer, IA, 513014364.
What is the Avera Mckennan's specialty and taxonomy code?
The Avera Mckennan's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Avera Mckennan receive its 1902886567 assignment from the Centers for Medicare & Medicaid Services?
The Avera Mckennan was assigned its 1902886567 by the Centers for Medicare & Medicaid Services on 2006-01-19.
As of what date was the information regarding Avera Mckennan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Avera Mckennan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-03-12.
NPI Number: 1881699460
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