Avera Mckennan is a Clinic/center in Flandreau, South Dakota. Avera Mckennan practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Avera Mckennan is 1760560452. The last update date is 2011-02-16.
Avera Mckennan's current location address is 212 N Prairie St, Flandreau, South Dakota. You can contact this provider via phone number 6059972741 and fax number 6059972418. The mailing address for Avera Mckennan is 212 N Prairie St, Flandreau, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera Mckennan |
|---|---|
| Address | 212 N Prairie St, Flandreau, South Dakota |
| Phone Number | 6059972741 |
| Fax Number | 6059972418 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SENIOR VIC |
|---|---|
| Authorized Official Name | Norton N. Julie |
| Telephone Number | 6053226375 |
NPI Number Detail
| NPI Number | 1760560452 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2011-02-16 |
Provider Mailing Address Detail
| Address | 212 N Prairie St |
|---|---|
| City | Flandreau |
| State | South Dakota (SD) |
| Post Code | 570281243 |
| Phone Number | 6059972741 |
| Fax Number | 6059972418 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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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 |
|---|---|---|---|
| 659S2FL | MN | BCBS OF MN | |
| 80484900 | WI | -- | |
| 9216572 | SD | DAKOTCARE | |
| 10025371500 | NE | -- | |
| 126277700 | MN | -- | |
| 95027 | SD | HEALTHPARTNERS | |
| 106366608 | SD | DEPARTMENT OF LABOR | |
| AH908107523 | SD | PREFERRED ONE | |
| 571919 | IA | -- | |
| 659S2FL | MN | CC SYSTEMS BLUE PLUS |
Post Comment/ Review Below
What is the Avera Mckennan's 1760560452?
The Avera Mckennan's NPI (National Provider Identifier) Number is 1760560452. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Avera Mckennan located?
The Avera Mckennan is located at 212 N Prairie St, Flandreau, SD 570281243.
What is the Avera Mckennan's area of specialization and corresponding taxonomy classification?
The Avera Mckennan's specialty field is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their specialties.
When did Avera Mckennan receive its 1760560452 assignment?
The Avera Mckennan was assigned its 1760560452 on 2006-11-01, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Avera Mckennan last refreshed?
The information related to the Avera Mckennan, including its address, specialty, and other relevant details, was last updated on 2011-02-16.