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 1811091473. The last update date is 2012-04-25.
Avera Mckennan's current location address is 400 Park Ave, Gregory, South Dakota. You can contact this provider via phone number 6058358394 and fax number 6058359422. The mailing address for Avera Mckennan is 400 Park Ave, Gregory, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera Mckennan |
|---|---|
| Address | 400 Park Ave, Gregory, South Dakota |
| Phone Number | 6058358394 |
| Fax Number | 6058359422 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP/CFO |
|---|---|
| Authorized Official Name | Norton Julie |
| Telephone Number | 6053226375 |
NPI Number Detail
| NPI Number | 1811091473 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2012-04-25 |
Provider Mailing Address Detail
| Address | 400 Park Ave |
|---|---|
| City | Gregory |
| State | South Dakota (SD) |
| Post Code | 575331302 |
| Phone Number | 6058358394 |
| Fax Number | 6058359422 |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 251E00000X |
|
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 | -- | |
| 171450 | SD | -- | |
| 9556080 | SD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Avera Mckennan by the Centers for Medicare & Medicaid Services (CMS)?
The Avera Mckennan has been assigned the NPI (National Provider Identifier) 1811091473. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Avera Mckennan's physical address?
The Avera Mckennan is physically located at 400 Park Ave, in the city of Gregory, SD, with the postal code 575331302.
What is Avera Mckennan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Avera Mckennan is Home Health, and the taxonomy code that categorizes this field of expertise is 251E00000X.
When did Avera Mckennan receive its 1811091473 assignment?
The Avera Mckennan was assigned its 1811091473 on 2006-09-12, which is the date when this unique identifier was issued to the organization.
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 2012-04-25.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX