| Avera Mckennan | |
|
300 S. Sherman Colton SD 57018 | |
| (605) 446-3233 | |
| Not Available |
| Full Name | Avera Mckennan |
|---|---|
| Speciality | Family Medicine |
| Location | 300 S. Sherman, Colton, South Dakota |
| Authorized Official Name and Position | Julie N. Norton (SENIOR VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 6053226375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Mckennan Po Box 9 300 S. Sherman Colton SD 57018 Ph: (605) 446-3233 | Avera Mckennan 300 S. Sherman Colton SD 57018 Ph: (605) 446-3233 |
| NPI Number | 1386793776 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 03/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386793776 | NPI | - | NPPES |
| 5609026 | Medicaid | SD | |
| 5611472 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5214 (South Dakota) | Secondary |
| 207Q00000X | Family Medicine | 3570 (South Dakota) | Primary |