institution
Avera Mckennan
Rural Health Clinic/Center in Flandreau, South Dakota
NPI 1619948007

Avera Mckennan is a Rural Health Clinic/Center based in Flandreau, SD and is specialized in Rural Health. Avera Mckennan practices in Flandreau, SD. The NPI Number for Avera Mckennan is 1619948007 and holds a License No. (South Dakota).

The current practice location address for Avera Mckennan is 212 North Prairie Street, Flandreau, SD and can be reached out via phone at 605-997-2471 and via fax at 605-997-2418.

Location: 212 North Prairie Street, Flandreau, SD, 57028-1296
institution
Provider Profile Details
NPI Number
1619948007
Provider Name
Avera Mckennan
Credential
Provider Entity Type
Organization
Address
212 North Prairie Street, Flandreau, SD, 57028-1296
Phone Number
605-997-2471
Fax Number
605-997-2418
Provider Enumeration Date
02/01/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
10025371500 05 NE
106366608 01 SD DEPARTMENT OF LABOR
126277700 05 MN
9216572 01 SD DAKOTACARE
10025485500 01 NE RHC MEDICAID NE
5340320 05 SD
659S2FL 01 MN BCBS OF MN
4995978 01 SD BCBS OF SOUTH DAKOTA
95027 01 SD HEALTHPARTNERS
0571919 05 IA
659S2FL 01 MN CC SYSTEMS BLUE PLUS
80484900 05 WI
institution
Provider Business Practice Location Address Details
Address
212 North Prairie Street
City
State
Zip
57028-1296
Phone Number
605-997-2471
Fax Number
605-997-2418
person
Provider Business Mailing Address Details
Address
212 North Prairie Street
City
State
Zip
57028-1296
Phone Number
605-997-2471
Fax Number
605-997-2418
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
()
Definition
Definition to come...
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