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Avera Mckennan
Durable Medical Equipment & Medical Supplies in Gregory, South Dakota
NPI 1427090760

Avera Mckennan is a Durable Medical Equipment & Medical Supplies based in Gregory, SD. Avera Mckennan practices in Gregory, SD. The NPI Number for Avera Mckennan is 1427090760 and holds a License No. (South Dakota).

The current practice location address for Avera Mckennan is 110 S Logan Ave Ste A, Gregory, SD and can be reached out via phone at 605-835-9611 and via fax at 605-835-8033.

Location: 110 S Logan Ave Ste A, Gregory, SD, 57533-1340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427090760
Provider Name
Avera Mckennan
Credential
Provider Entity Type
Organization
Address
110 S Logan Ave Ste A, Gregory, SD, 57533-1340
Phone Number
605-835-9611
Fax Number
605-835-8033
Provider Enumeration Date
06/12/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
46011474312 05 NE
0000028 01 SD WELLMARK BC/BS
institution
Provider Business Practice Location Address Details
Address
110 S Logan Ave Ste A
City
Gregory
State
South Dakota
Zip
57533-1614
Phone Number
605-835-9611
Fax Number
605-835-8033
person
Provider Business Mailing Address Details
Address
110 S Logan Ave Ste A
City
Gregory
State
South Dakota
Zip
57533-1614
Phone Number
605-835-9611
Fax Number
605-835-8033
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
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).
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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