Avera Medical Group Fairfax

LBN: Avera Mckennan
Avera Medical Group Fairfax is an health care organization with primary practice located at 421 Main St , Fairfax SD 57335-0354. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 654-2366, or through Norton, Julie N via phone (605) 322-6375.

Contact Information

Primary practice address
421 Main St Fairfax SD 57335-0354
Phone: (605) 654-2366
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Norton, Julie N
Phone: (605) 322-6375

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1215967203
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Fairfax
Authorized official Norton, Julie N
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
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 1215967203 NPPES
South Dakota Other 0000028 WELLMARK BC/BS

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