Organization · NPI-2

Avera Mckennan

Family Medicine · Sioux Falls, SD

NPI number1346512266
StatusActive
Last updated in NPPESMay 14, 2012

Details

NPI
1346512266
Entity type
Organization (NPI-2)
Legal business name
Avera Mckennan
Organization subpart
No
Enumeration date
Feb 8, 2012
Last updated
May 14, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Avera Medical Group Mcgreevy Dawley Farm (Doing Business As)

Practice location

1035 South Highline Place
Sioux Falls, SD 57110-1000

Phone 605-322-2925 · Fax 605-322-2926

Mailing address

Po Box 86430
Sioux Falls, SD 57118-6430

Phone 605-322-4900 · Fax 605-322-4910

Authorized official

Julie N Norton
Senior Vice President Of Finance
6053226375

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Sioux Falls, SD