1427003946 AVERA MCKENNAN

Rural Health Clinic/Center

Active

Basic Information

Organization Name
AVERA MCKENNAN
Enumeration Date
May 23, 2006
Last Update
September 10, 2020
Authorized Official
DAVID FLICEK
PRESIDENT/CEO
Phone: (605) 322-7916

Practice Location

Address
80 N MAIN ST
WAUBAY, SD 57273
Phone
(605) 947-4322
Fax
(605) 947-3423

Mailing Address

Address
80 N MAIN ST
PO BOX 215
WAUBAY, SD 57273
Phone
(605) 947-4322
Fax
(605) 947-3423

Specialties & Taxonomies

Specialty Code Classification License State Primary
Nurse Practitioner
363L00000X Nurse Practitioner 0317 SD No
Rural Health Clinic/Center
Rural Health
261QR1300X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
5300800 05 SD N/A
43D0974942 01 N/A CLIA #

Frequently Asked Questions

What is AVERA MCKENNAN's NPI number?
AVERA MCKENNAN's NPI number is 1427003946.
Which doctor has NPI number 1427003946?
The doctor with NPI number 1427003946 is AVERA MCKENNAN.
What is AVERA MCKENNAN's practice address?
AVERA MCKENNAN's practice address is 80 N MAIN ST, WAUBAY, SD, 57273.
Which doctor practices at 80 N MAIN ST, WAUBAY, SD, 57273?
AVERA MCKENNAN practices at 80 N MAIN ST, WAUBAY, SD, 57273.
What is AVERA MCKENNAN's phone number?
AVERA MCKENNAN's phone number is (605) 947-4322.
Who is (605) 947-4322?
(605) 947-4322 is the phone number for AVERA MCKENNAN.
What is AVERA MCKENNAN's specialty?
AVERA MCKENNAN's specialty is Rural Health Clinic/Center.
What type of doctor is AVERA MCKENNAN?
AVERA MCKENNAN is a Rural Health Clinic/Center.
Is AVERA MCKENNAN a Rural Health?
Yes, AVERA MCKENNAN is a Rural Health.
Is AVERA MCKENNAN still practicing?
Yes, AVERA MCKENNAN is currently practicing.
Is AVERA MCKENNAN accepting new patients?
AVERA MCKENNAN may be accepting new patients. Please call their office at (605) 947-4322 to inquire about availability.
Is NPI 1427003946 still active?
Yes, NPI 1427003946 is currently active.
Where does AVERA MCKENNAN practice?
AVERA MCKENNAN practices in WAUBAY, SD.