Avera McKennan
Organization Active NPI Ambulatory Surgical Clinic/Center · Pierre, SD
NPI 1083859532 · NPPES record last updated Apr 29, 2011
Key facts
- NPI
- 1083859532
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- 11146 (SD)
- Legal business name
- AVERA MCKENNAN
- Practice address
- 100 Mac LN
Pierre, SD 57501-3391 - Phone
- (605) 224-5901
- Fax
- (605) 945-3244
- NPI assigned
- Dec 12, 2008
- Organization subpart
- No
Authorized official
- Name
- Julie N Norton
- Title
- VP Finance
- Phone
- (605) 322-6375
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 11146 | SD | Yes |
Addresses
Primary practice location
100 Mac LN
Pierre, SD 57501-3391
Mailing address
100 Mac LN
Pierre, SD 57501-3391
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO6835 | Other | SD | RR MEDICARE |
Other names
- Avera Medical Group Surgery Pierre
Other providers in Pierre, SD
- At Home Nursing
- Audiology Associates, Inc.
- Avera at Home
- Avera at Home
- Avera Home Medical Equipment, LLC
- Avera McKennan
- Avera Medical Group
- Avera St Marys
- Avera St Marys
- Avera St Marys
All providers in Pierre, SD · Ambulatory Surgical Clinic/Center in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.