| Avera Mckennan | |
|
1100 S 10th Ave Ste 100 Rock Rapids IA 51246-2020 | |
| (712) 472-5300 | |
| Not Available |
| Full Name | Avera Mckennan |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 S 10th Ave, Rock Rapids, Iowa |
| Authorized Official Name and Position | Ronald J. Place (PRESIDENT/CEO) |
| Authorized Official Contact | 6053227903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Mckennan Po Box 5045 Cbo Prv Enrlmt Palm Place Sioux Falls SD 57117-5045 Ph: (605) 322-6428 | Avera Mckennan 1100 S 10th Ave Ste 100 Rock Rapids IA 51246-2020 Ph: (712) 472-5300 |
| NPI Number | 1003389206 |
|---|---|
| Provider Enumeration Date | 01/10/2019 |
| Last Update Date | 09/14/2023 |
| Medicare PECOS PAC ID | 0345157103 |
|---|---|
| Medicare Enrollment ID | O20190530001006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003389206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sanford Health Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 803 S Greene St, Rock Rapids, IA 51246 Phone: 712-472-3716 Fax: 712-472-2878 | |
Sanford Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Buncombe Dr, Rock Rapids, IA 51246 Phone: 712-472-3716 Fax: 712-472-2878 |