| Avera Mckennan | |
|
1200 S 7th Ave Sioux Falls SD 57105-0912 | |
| (605) 336-2140 | |
| Not Available |
| Full Name | Avera Mckennan |
|---|---|
| Speciality | Family Medicine |
| Location | 1200 S 7th Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Julie N Norton (SR. VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 6053227818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Mckennan Po Box 86430 Sioux Falls SD 57118-6430 Ph: (605) 322-4900 | Avera Mckennan 1200 S 7th Ave Sioux Falls SD 57105-0912 Ph: (605) 336-2140 |
| NPI Number | 1376575514 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 05/10/2012 |
| Medicare PECOS PAC ID | 0345157103 |
|---|---|
| Medicare Enrollment ID | O20100930007605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376575514 | NPI | - | NPPES |
| 996421500 | Medicaid | MN | |
| 0716829 | Medicaid | IA |
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