| Avera Mckennan | |
|
730 Wilson St Butte NE 68722-0319 | |
| (402) 775-2174 | |
| Not Available |
| Full Name | Avera Mckennan |
|---|---|
| Speciality | Clinic/Center |
| Location | 730 Wilson St, Butte, Nebraska |
| Authorized Official Name and Position | Julie N Norton (VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 6053226375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Mckennan Po Box 319 730 Wilson St Butte NE 68722-0319 Ph: (402) 775-2174 | Avera Mckennan 730 Wilson St Butte NE 68722-0319 Ph: (402) 775-2174 |
| NPI Number | 1568492551 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 04/25/2011 |
| Medicare PECOS PAC ID | 0345157103 |
|---|---|
| Medicare Enrollment ID | O20100209000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568492551 | NPI | - | NPPES |
| 5300213 | Medicaid | SD | |
| 0000028 | Other | SD | WELLMARK BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |