Avera Mckennan is a Clinic/center in Colome, South Dakota. Avera Mckennan practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Avera Mckennan is 1548290539. The last update date is 2011-03-21.
Avera Mckennan's current location address is Po Box 108, Colome, South Dakota. You can contact this provider via phone number 6058421186. The mailing address for Avera Mckennan is Po Box 108, Colome, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera Mckennan |
|---|---|
| Address | Po Box 108, Colome, South Dakota |
| Phone Number | 6058421186 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Norton N Julie |
| Telephone Number | 6053226375 |
NPI Number Detail
| NPI Number | 1548290539 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2011-03-21 |
Provider Mailing Address Detail
| Address | Po Box 108 |
|---|---|
| City | Colome |
| State | South Dakota (SD) |
| Post Code | 575280108 |
| Phone Number | 6058421186 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 28 | SD | WELLMARK BC/BS |
Post Comment/ Review Below
What is the Avera Mckennan's unique identification number?
The Avera Mckennan has been assigned the NPI (National Provider Identifier) Number 1548290539 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Avera Mckennan is located?
The Avera Mckennan is situated at the following address: Po Box 108, Colome, SD, 575280108.
What is the area of specialization for Avera Mckennan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Avera Mckennan is Clinic/center, and the corresponding taxonomy code that categorizes this area of expertise is 261Q00000X.
On what date did Avera Mckennan receive its 1548290539 assignment from the Centers for Medicare & Medicaid Services?
The Avera Mckennan was assigned its 1548290539 on 2006-07-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
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 2011-03-21.
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