Avera Mckennan is a Clinic/center in Gregory, South Dakota. Avera Mckennan practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Avera Mckennan is 1427090760. The last update date is 2023-02-10.
Avera Mckennan's current location address is 405 Whittecar Ave, Gregory, South Dakota. You can contact this provider via phone number 6058359611 and fax number 6058358033. The mailing address for Avera Mckennan is 405 Whittecar Ave, Gregory, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera Mckennan |
|---|---|
| Address | 405 Whittecar Ave, Gregory, South Dakota |
| Phone Number | 6058359611 |
| Fax Number | 6058358033 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Flicek William David |
| Telephone Number | 6053227915 |
NPI Number Detail
| NPI Number | 1427090760 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2023-02-10 |
Provider Mailing Address Detail
| Address | 405 Whittecar Ave |
|---|---|
| City | Gregory |
| State | South Dakota (SD) |
| Post Code | 575331340 |
| Phone Number | 6058359611 |
| Fax Number | 6058358033 |
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 |
|---|---|---|---|
| 46011474312 | NE | -- | |
| 28 | SD | WELLMARK BC/BS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Avera Mckennan by the Centers for Medicare & Medicaid Services?
The Avera Mckennan has been issued the NPI (National Provider Identifier) 1427090760, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Avera Mckennan is physically located?
The Avera Mckennan is situated at the following address: 405 Whittecar Ave, Gregory, SD 575331340.
What is Avera Mckennan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Avera Mckennan is Clinic/center, and the taxonomy classification code that categorizes this area of expertise is 261Q00000X.
When did Avera Mckennan receive its 1427090760 assignment?
The Avera Mckennan was assigned its 1427090760 on 2006-06-12, 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 2023-02-10.
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