Avera Mckennan is a Rural Health in Milbank, South Dakota. Avera Mckennan practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Avera Mckennan is 1750488730. The last update date is 2023-10-06.
Avera Mckennan's current location address is 803 E Milbank Ave, Milbank, South Dakota. You can contact this provider via phone number 6054324587 and fax number 6054324580. The mailing address for Avera Mckennan is 803 E Milbank Ave, Milbank, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera Mckennan |
|---|---|
| Address | 803 E Milbank Ave, Milbank, South Dakota |
| Phone Number | 6054324587 |
| Fax Number | 6054324580 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Place Joseph Ronald |
| Credentials | MD |
| Telephone Number | 6053227903 |
NPI Number Detail
| NPI Number | 1750488730 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2023-10-06 |
Provider Mailing Address Detail
| Address | 803 E Milbank Ave |
|---|---|
| City | Milbank |
| State | South Dakota (SD) |
| Post Code | 572521413 |
| Phone Number | 6054324587 |
| Fax Number | 6054324580 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10148 | SD | MEDICAID SD | |
| 43D0407375 | CLIA | ||
| 148019700 | MN MEDICAID |
Post Comment/ Review Below
What is the unique identification code assigned to Avera Mckennan by the Centers for Medicare & Medicaid Services?
The Avera Mckennan has been issued the NPI (National Provider Identifier) 1750488730. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Avera Mckennan is geographically located?
The Avera Mckennan is physically situated at the following location: 803 E Milbank Ave, Milbank, SD, 572521413.
What is Avera Mckennan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Avera Mckennan's specialized field of practice is Rural Health, and the corresponding taxonomy code that categorizes this area of specialization is 261Qr1300X.
When did Avera Mckennan receive its 1750488730 assignment?
The Avera Mckennan was assigned its 1750488730 on 2006-09-20, which is the date when this unique identifier was issued to the organization.
When was the information regarding Avera Mckennan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Avera Mckennan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-10-06.