Avera Mckennan is a Home Health in Gregory, South Dakota. Avera Mckennan practices all healthcare services and medical treatments related to Home Health. The NPI Number for Avera Mckennan is 1770791402. The last update date is 2010-03-12.
Avera Mckennan's current location address is Po Box 408, Gregory, South Dakota. You can contact this provider via phone number 6058358394. The mailing address for Avera Mckennan is Po Box 408, Gregory, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera Mckennan |
|---|---|
| Address | Po Box 408, Gregory, South Dakota |
| Phone Number | 6058358394 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP/CFO |
|---|---|
| Authorized Official Name | Norton Julie |
| Telephone Number | 6053226375 |
NPI Number Detail
| NPI Number | 1770791402 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2010-03-12 |
Provider Mailing Address Detail
| Address | Po Box 408 |
|---|---|
| City | Gregory |
| State | South Dakota (SD) |
| Post Code | 575330408 |
| Phone Number | 6058358394 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 251E00000X |
| Licence No | 10563 |
|
Definition: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9550490 | SD | -- | |
| 9556080 | SD | -- | |
| 171450 | SD | -- |
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What is the unique 10-digit identifier code issued to Avera Mckennan by the Centers for Medicare & Medicaid Services?
The Avera Mckennan has been assigned the NPI (National Provider Identifier) 1770791402 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Avera Mckennan's facilities are situated?
The facilities of Avera Mckennan are physically located at the following address: Po Box 408, Gregory, SD, 575330408.
What is Avera Mckennan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Avera Mckennan is Home Health, and the corresponding taxonomy classification code for this specialized field is 251E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770791402 to Avera Mckennan?
The Avera Mckennan received its 1770791402 assignment from the Centers for Medicare & Medicaid Services on 2007-05-18.
When was the information regarding Avera Mckennan most recently updated?
The details pertaining to the Avera Mckennan, including its address, specialty, and other relevant information, were last refreshed on 2010-03-12.
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