Avera Medical Group Garretson

LBN: Avera Mckennan
Avera Medical Group Garretson is an health care organization with primary practice located at 980 4Th Street , Garretson SD 57030-0250. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 594-3431, or through Norton, Julie N. via phone (605) 322-6375.

Contact Information

Primary practice address
980 4Th Street Garretson SD 57030-0250
Phone: (605) 594-3431
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Norton, Julie N.
Phone: (605) 322-6375

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3579 South Dakota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4884 South Dakota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5054 South Dakota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5214 South Dakota

Profile Details

NPI number 1174671242
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Garretson
Authorized official Norton, Julie N.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Mar 21st, 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 1174671242 NPPES
South Dakota MEDICAID 5611292
South Dakota MEDICAID 5610962
South Dakota MEDICAID 5609088
South Dakota MEDICAID 5611473

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