1588677892 AVERA MCKENNAN
Rural Health Clinic/Center
Active
Basic Information
- Organization Name
- AVERA MCKENNAN
- Enumeration Date
- August 15, 2006
- Last Update
- July 2, 2021
- Authorized Official
- DAVID FLICEK
PRESIDENT/CEO
Phone: (605) 322-7915
Practice Location
- Address
- 305 N 2ND AVE
REVILLO, SD 572590006 - Phone
- (605) 623-4695
- Fax
- (605) 623-4318
Mailing Address
- Address
- 901 E VIRGIL AVE
MILBANK, SD 572522124 - Phone
- (605) 432-4538
- Fax
- (605) 432-5412
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Rural Health Clinic/Center Rural Health | 261QR1300X | Clinic/Center | N/A | SD | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4996359 | 01 | SD | SD BLUE CROSS-REVILLO P# |
| 246933200 | 05 | MN | N/A |
| 9204609 | 01 | SD | DAKOTACARE REVILLO PROV# |
| 228L6RE | 01 | MN | MN BLUE CROSS-REVILLO P# |
| 5800490 | 05 | SD | N/A |
Frequently Asked Questions
What is AVERA MCKENNAN's NPI number?
AVERA MCKENNAN's NPI number is 1588677892.
Which doctor has NPI number 1588677892?
The doctor with NPI number 1588677892 is AVERA MCKENNAN.
What is AVERA MCKENNAN's practice address?
AVERA MCKENNAN's practice address is 305 N 2ND AVE, REVILLO, SD, 572590006.
Which doctor practices at 305 N 2ND AVE, REVILLO, SD, 572590006?
AVERA MCKENNAN practices at 305 N 2ND AVE, REVILLO, SD, 572590006.
What is AVERA MCKENNAN's mailing address?
AVERA MCKENNAN's mailing address is 901 E VIRGIL AVE, MILBANK, SD, 572522124.
What is AVERA MCKENNAN's phone number?
AVERA MCKENNAN's phone number is (605) 623-4695.
Who is (605) 623-4695?
(605) 623-4695 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) 623-4695 to inquire about availability.
Is NPI 1588677892 still active?
Yes, NPI 1588677892 is currently active.
Where does AVERA MCKENNAN practice?
AVERA MCKENNAN practices in REVILLO, SD.