| Avera Mckennan | |
|
300 W 5th St Miller SD 57362-1238 | |
| (605) 853-0158 | |
| (605) 853-3885 |
| Full Name | Avera Mckennan |
|---|---|
| Speciality | Clinic/center |
| Location | 300 W 5th St, Miller, South Dakota |
| Authorized Official Name and Position | Ronald J. Place (PRESIDENT/CEO) |
| Authorized Official Contact | 6053227903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Mckennan 300 W 5th St Po Box 287 Miller SD 57362-1238 Ph: (605) 853-0158 | Avera Mckennan 300 W 5th St Miller SD 57362-1238 Ph: (605) 853-0158 |
| NPI Number | 1083679625 |
|---|---|
| Provider Enumeration Date | 04/18/2006 |
| Last Update Date | 09/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083679625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |