Avera McKennan
Organization Active NPI Physical Therapy Clinic/Center · Gregory, SD
NPI 1326495409 · NPPES record last updated May 31, 2017
Key facts
- NPI
- 1326495409
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 0345 (SD)
- Legal business name
- AVERA MCKENNAN
- Practice address
- 400 Park Ave
Gregory, SD 57533-1302 - Phone
- (605) 835-5190
- Fax
- (605) 835-5479
- NPI assigned
- May 19, 2016
- Organization subpart
- No
Authorized official
- Name
- Julie Norton
- Title
- Cfo/SVP
- Phone
- (605) 322-7818
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Avera McKennan Hosp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 0345 | SD | Yes |
Addresses
Primary practice location
400 Park Ave
Gregory, SD 57533-1302
Mailing address
400 Park Ave
Gregory, SD 57533-1302
Phone (605) 835-5190
Other names
- Avera Gregory Hospital
Other providers in Gregory, SD
- James Michael Arlt
- Avera at Home
- Avera Gregory
- Avera McKennan
- Avera McKennan
- Avera McKennan
- Avera McKennan
- Avera McKennan
- Avera McKennan
- Melissa Bartling
All providers in Gregory, SD · Physical Therapy 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 May 31, 2017. 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.