Avera Mckennan is a Rural Health in Wilmot, South Dakota. Avera Mckennan practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Avera Mckennan is 1770680787. The last update date is 2020-09-10.
Avera Mckennan's current location address is 409 4th St, Wilmot, South Dakota. You can contact this provider via phone number 6059384351 and fax number 6059384351. The mailing address for Avera Mckennan is 409 4th St, Wilmot, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera Mckennan |
|---|---|
| Address | 409 4th St, Wilmot, South Dakota |
| Phone Number | 6059384351 |
| Fax Number | 6059384351 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Flicek David |
| Telephone Number | 6053227916 |
NPI Number Detail
| NPI Number | 1770680787 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2020-09-10 |
Provider Mailing Address Detail
| Address | 409 4th St |
|---|---|
| City | Wilmot |
| State | South Dakota (SD) |
| Post Code | 572792214 |
| Phone Number | 6059384351 |
| Fax Number | 6059384351 |
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 |
|---|---|---|---|
| 5300010 | SD | -- | |
| 43D0901649 | SD | CLIA # |
Post Comment/ Review Below
What is the Avera Mckennan's 1770680787?
The Avera Mckennan's NPI (National Provider Identifier) Number is 1770680787. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
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: 409 4Th St, Wilmot, SD, 572792214.
What is Avera Mckennan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Avera Mckennan's area of specialization is Rural Health, and the corresponding taxonomy code that categorizes this field of practice is 261Qr1300X.
On what date was the 1770680787 assigned to Avera Mckennan?
The Avera Mckennan was issued its 1770680787 on 2006-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
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 2020-09-10.
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