AVERA MCKENNAN; NPI #1760681175

Contact Information

AVERA MCKENNAN

309 N PRAIRIE ST
FLANDREAU, SD 57028-1253

Phone: 605-997-3779
Fax: 605-997-3273
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Public Health or Welfare	251K00000X	60	Public Health or Welfare Agency

Indicates primary specialty

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NPI Profile & details for AVERA MCKENNAN

NPI Number 1760681175

LBN Legal business name AVERA MCKENNAN

Authorized official BARB SHEA - (BUSINESS OFFICE ASSISTANT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/16/2007

Last updated 03/09/2012 - About 14 years ago

Identifiers

Medicaid

5102100

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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AVERA MCKENNAN

Contact Information

Specialty

Public Health or Welfare

NPI Profile & details for AVERA MCKENNAN

Reviews for AVERA MCKENNAN