1750488730 AVERA MCKENNAN
Rural Health Clinic/Center
Active
Basic Information
- Organization Name
- AVERA MCKENNAN
- Enumeration Date
- September 20, 2006
- Last Update
- March 12, 2024
- Authorized Official
- RONALD JOSEPH PLACE MD
PRESIDENT/CEO
Phone: (605) 322-7903
Practice Location
- Address
- 301 FLYNN DR
MILBANK, SD 572521508 - Phone
- (605) 432-4587
Mailing Address
- Address
- PO BOX 5045
CBO PROV ENRLMT
SIOUX FALLS, SD 571175045 - Phone
- (605) 322-6428
- Fax
- (605) 432-4580
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Rural Health Clinic/Center Rural Health | 261QR1300X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10148 | 01 | SD | MEDICAID SD |
| 43D0407375 | 01 | N/A | CLIA |
| 148019700 | 01 | N/A | MN MEDICAID |
Frequently Asked Questions
What is AVERA MCKENNAN's NPI number?
AVERA MCKENNAN's NPI number is 1750488730.
Which doctor has NPI number 1750488730?
The doctor with NPI number 1750488730 is AVERA MCKENNAN.
What is AVERA MCKENNAN's practice address?
AVERA MCKENNAN's practice address is 301 FLYNN DR, MILBANK, SD, 572521508.
Which doctor practices at 301 FLYNN DR, MILBANK, SD, 572521508?
AVERA MCKENNAN practices at 301 FLYNN DR, MILBANK, SD, 572521508.
What is AVERA MCKENNAN's mailing address?
AVERA MCKENNAN's mailing address is PO BOX 5045, CBO PROV ENRLMT, SIOUX FALLS, SD, 571175045.
What is AVERA MCKENNAN's phone number?
AVERA MCKENNAN's phone number is (605) 432-4587.
Who is (605) 432-4587?
(605) 432-4587 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) 432-4587 to inquire about availability.
Is NPI 1750488730 still active?
Yes, NPI 1750488730 is currently active.
Where does AVERA MCKENNAN practice?
AVERA MCKENNAN practices in MILBANK, SD.