Avera Mckennan in Gregory - End-stage Renal Disease (esrd) Treatment
Avera Mckennan - NPI 1255435814
Avera Mckennan is a End-stage Renal Disease (esrd) Treatment in Gregory, South Dakota. Avera Mckennan practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Avera Mckennan is 1255435814. The last update date is 2023-10-04.
Avera Mckennan's current location address is Po Box 408, Gregory, South Dakota. You can contact this provider via phone number 6058358394 and fax number 6058359422. The mailing address for Avera Mckennan is Po Box 408, Gregory, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera Mckennan |
|---|---|
| Address | Po Box 408, Gregory, South Dakota |
| Phone Number | 6058358394 |
| Fax Number | 6058359422 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/PRESID |
|---|---|
| Authorized Official Name | Place Joseph Ronald |
| Credentials | MD |
| Telephone Number | 6053227903 |
NPI Number Detail
| NPI Number | 1255435814 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2023-10-04 |
Provider Mailing Address Detail
| Address | Po Box 408 |
|---|---|
| City | Gregory |
| State | South Dakota (SD) |
| Post Code | 575330408 |
| Phone Number | 6058358394 |
| Fax Number | 6058359422 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5500350 | SD | -- |
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) 1255435814, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Avera Mckennan's physical address?
The Avera Mckennan is physically located at Po Box 408, in the city of Gregory, SD, with the postal code 575330408.
What is the Avera Mckennan's area of specialization and corresponding taxonomy classification?
The Avera Mckennan's specialty field is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their specialties.
When did the Avera Mckennan receive its 1255435814?
The Avera Mckennan was issued its 1255435814 on 2006-09-12, which is the date when the organization was assigned this unique identifier.
When was the information related to Avera Mckennan most recently updated or refreshed?
The details pertaining to the Avera Mckennan, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-10-04.