Avera Mckennan is a Critical Access in Gregory, South Dakota. Avera Mckennan practices all healthcare services and medical treatments related to Critical Access. The NPI Number for Avera Mckennan is 1275562027. The last update date is 2023-10-04.
Avera Mckennan's current location address is 400 Park Ave., Gregory, South Dakota. You can contact this provider via phone number 6058358394 and fax number 6058359422. The mailing address for Avera Mckennan is 400 Park Ave., Gregory, South Dakota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Avera Mckennan |
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Address | 400 Park Ave., Gregory, South Dakota |
Phone Number | 6058358394 |
Fax Number | 6058359422 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT/ |
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Authorized Official Name | Place Joseph Ronald |
Credentials | MD |
Telephone Number | 6053227903 |
NPI Number Detail
NPI Number | 1275562027 |
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Provider Enumeration Date | 2006-07-02 |
Last Updated Date | 2023-10-04 |
Provider Mailing Address Detail
Address | 400 Park Ave. |
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City | Gregory |
State | South Dakota (SD) |
Post Code | 575330408 |
Phone Number | 6058358394 |
Fax Number | 6058359422 |
Provider's Primary Taxonomy Detail
Speciality | Critical Access |
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Taxonomy | 282Nc0060X |
Licence No | 54875 |
Definition: Small, rural hospital meeting location and service criteria that allow it to receive cost-based Medicare and Medicaid reimbursement. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
100350 | SD | -- | |
159260 | SD | -- | |
5500350 | SD | -- |
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) 1275562027 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Avera Mckennan's physical address?
The Avera Mckennan is physically located at 400 Park Ave., in the city of Gregory, SD, with the postal code 575330408.
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 Critical Access, and the corresponding taxonomy code that categorizes this field of practice is 282Nc0060X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275562027 to Avera Mckennan?
The Avera Mckennan received its 1275562027 assignment from the Centers for Medicare & Medicaid Services on 2006-07-02.
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 2023-10-04.