Avera Mckennan is a Clinic/Center based in Fairfax, SD. Avera Mckennan practices in Fairfax, SD. The NPI Number for Avera Mckennan is 1215967203 and holds a License No. (South Dakota).
The current practice location address for Avera Mckennan is 421 Main St, Fairfax, SD and can be reached out via phone at 605-654-2366.
Location: 421 Main St, Fairfax, SD, 57335-0354
Provider Profile Details
NPI Number
1215967203
Provider Name
Avera Mckennan
Credential
Provider Entity Type
Organization
Address
421 Main St, Fairfax, SD, 57335-0354
Phone Number
605-654-2366
Fax Number
Provider Enumeration Date
07/04/2006
Last Update Date
02/15/2025
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000028 | 01 | SD | WELLMARK BC/BS |
Provider Business Practice Location Address Details
Address
421 Main St
City
State
Zip
57335-0354
Phone Number
605-654-2366
Fax Number
Provider Business Mailing Address Details
Address
421 Main St
City
State
Zip
57335-0354
Phone Number
605-654-2366
Fax Number
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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