| Avera Mckennan | |
|
2020 Hospital Dr., Ste. 2 Windom MN 56101-1766 | |
| (507) 831-1703 | |
| (507) 831-5668 |
| Full Name | Avera Mckennan |
|---|---|
| Speciality | Family Medicine |
| Location | 2020 Hospital Dr., Ste. 2, Windom, Minnesota |
| Authorized Official Name and Position | David William Flicek (PRESIDENT/CEO) |
| Authorized Official Contact | 6053227915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Mckennan 800 E 21st Street Po Box5045 Sioux Falls SD 57117-5045 Ph: (605) 322-6375 | Avera Mckennan 2020 Hospital Dr., Ste. 2 Windom MN 56101-1766 Ph: (507) 831-1703 |
| NPI Number | 1851491690 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 06/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851491690 | NPI | - | NPPES |
| C18643 | Other | RAILROAD MEDICARE | |
| 433903700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Sioux Valley Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 10th St, Windom, MN 56101 Phone: 507-831-2223 | |
Jeffrey Taber Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2170 Hospital Dr Ste A, Windom, MN 56101 Phone: 507-831-2550 Fax: 507-831-5528 | |
Rural Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2020 Hospital Dr., Ste. 1, Windom, MN 56101 Phone: 507-831-1703 Fax: 507-831-5668 | |
Sanford Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2170 Hospital Dr, Windom, MN 56101 Phone: 507-831-1422 Fax: 507-831-4783 | |
Windom Area Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 Hospital Dr, Windom, MN 56101 Phone: 507-831-2400 Fax: 507-831-5749 | |
Sanford Health Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2170 Hospital Dr Ste 1, Windom, MN 56101 Phone: 507-831-2223 Fax: 507-831-0135 | |
Windom Area Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2150 Hospital Dr, Windom, MN 56101 Phone: 507-831-2400 Fax: 507-831-5749 |