| Avera Mckennan | |
|
725 E Figzel Ct Suite 100 Tea SD 57064-2276 | |
| (605) 368-9899 | |
| (605) 368-5089 |
| Full Name | Avera Mckennan |
|---|---|
| Speciality | Family Medicine |
| Location | 725 E Figzel Ct, Tea, South Dakota |
| Authorized Official Name and Position | Julie N Norton (SR 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 Po Box 86430 Sioux Falls SD 57118-6430 Ph: (605) 322-4900 | Avera Mckennan 725 E Figzel Ct Suite 100 Tea SD 57064-2276 Ph: (605) 368-9899 |
| NPI Number | 1376519116 |
|---|---|
| Provider Enumeration Date | 02/23/2006 |
| Last Update Date | 05/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376519116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Orthopedic Institute Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2120 Live Stronger St, Tea, SD 57064 Phone: 605-331-5890 | |
Avera Mckennan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 E Figzel Ct, Suite 100, Tea, SD 57064 Phone: 605-368-9899 |