Avera Mckennan is a Clinic/center in Miller, South Dakota. Avera Mckennan practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Avera Mckennan is 1083679625. The last update date is 2023-09-14.
Avera Mckennan's current location address is 300 W 5th St, Miller, South Dakota. You can contact this provider via phone number 6058530158 and fax number 6058533885. The mailing address for Avera Mckennan is 300 W 5th St, Miller, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera Mckennan |
|---|---|
| Address | 300 W 5th St, Miller, South Dakota |
| Phone Number | 6058530158 |
| Fax Number | 6058533885 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Place J. Ronald |
| Credentials | MD |
| Telephone Number | 6053227903 |
NPI Number Detail
| NPI Number | 1083679625 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2023-09-14 |
Provider Mailing Address Detail
| Address | 300 W 5th St |
|---|---|
| City | Miller |
| State | South Dakota (SD) |
| Post Code | 573621238 |
| Phone Number | 6058530158 |
| Fax Number | 6058533885 |
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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Avera Mckennan by the Centers for Medicare & Medicaid Services?
The Avera Mckennan has been issued the NPI (National Provider Identifier) 1083679625 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Avera Mckennan's facilities are geographically located?
The facilities of Avera Mckennan are physically situated at the following location: 300 W 5Th St, Miller, SD, 573621238.
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 Clinic/center, and the corresponding taxonomy classification code for this specialized field is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083679625 to Avera Mckennan?
The Avera Mckennan received its 1083679625 assignment from the Centers for Medicare & Medicaid Services on 2006-04-18.
As of what date was the information pertaining to Avera Mckennan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Avera Mckennan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-09-14.