Avera Medical Group Volga

LBN: Avera Mckennan
Avera Medical Group Volga is an health care organization with primary practice located at 210 Kasan Ave , Volga SD 57071. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 627-5701, or through Norton, Julie N. via phone (605) 322-6375.

Contact Information

Primary practice address
210 Kasan Ave Volga SD 57071
Phone: (605) 627-5701
Fax: (605) 627-5990
Website:
Map and Directions
Authorized official contact:
Name: Norton, Julie N.
Phone: (605) 322-6375

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 84 South Dakota

Profile Details

NPI number 1063432573
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Volga
Authorized official Norton, Julie N.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 20th, 2006
Last updated Mar 11th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063432573 NPPES
South Dakota MEDICAID 7300750

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