| Avera Mckennan | |
|
203 N Elk St Elkton SD 57026-2124 | |
| (605) 542-7701 | |
| (605) 542-7291 |
| Full Name | Avera Mckennan |
|---|---|
| Speciality | Clinic/center |
| Location | 203 N Elk St, Elkton, South Dakota |
| Authorized Official Name and Position | Julie N. Norton (SENIOR VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 6053226375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Mckennan 212 N Prairie St Flandreau SD 57028-1243 Ph: (605) 997-2741 | Avera Mckennan 203 N Elk St Elkton SD 57026-2124 Ph: (605) 542-7701 |
| NPI Number | 1760560452 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 02/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760560452 | NPI | - | NPPES |
| 659S2FL | Other | MN | BCBS OF MN |
| 80484900 | Medicaid | WI | |
| 9216572 | Other | SD | DAKOTCARE |
| 10025371500 | Medicaid | NE | |
| 126277700 | Medicaid | MN | |
| 95027 | Other | SD | HEALTHPARTNERS |
| 106366608 | Other | SD | DEPARTMENT OF LABOR |
| AH908107523 | Other | SD | PREFERRED ONE |
| 0571919 | Medicaid | IA | |
| 659S2FL | Other | MN | CC SYSTEMS BLUE PLUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
City Of Brookings Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 1/2 West 2nd Street, Elkton, SD 57026 Phone: 605-696-9000 | |
Avera Mckennan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 N Elk Street, Elkton, SD 57026 Phone: 605-542-7701 Fax: 605-542-7291 |