Avera Medical Group Mcgreevy Brandon

LBN: Avera Mckennan
Avera Medical Group Mcgreevy Brandon is an health care organization with primary practice located at 1101 E Holly Blvd , Brandon SD 57005-1426. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Avera Mckennan can be contacted via phone (605) 582-3853, or through Norton, Julie N via phone (605) 322-7818.

Contact Information

Primary practice address
1101 E Holly Blvd Brandon SD 57005-1426
Phone: (605) 582-3853
Fax: (605) 582-3855
Website:
Map and Directions
Authorized official contact:
Name: Norton, Julie N
Phone: (605) 322-7818

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1285701870
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Mcgreevy Brandon
Authorized official Norton, Julie N
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated May 10th, 2012 - about 13 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 1285701870 NPPES
Iowa MEDICAID 0716829

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