Avera Mckennan Dba Avera Worthington Specialty Clinics

LBN: Avera Mckennan
Avera Mckennan Dba Avera Worthington Specialty Clinics is an health care organization with primary practice located at 1216 Ryans Rd Suite 1, Worthington MN 56187-1722. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Avera Mckennan can be contacted via phone (507) 372-2921, or through Norton, Julie N via phone (605) 322-7818.

Contact Information

Primary practice address
1216 Ryans Rd Suite 1 Worthington MN 56187-1722
Phone: (507) 372-2921
Fax: (507) 372-5789
Website:
Map and Directions
Authorized official contact:
Name: Norton, Julie N
Phone: (605) 322-7818

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1306939806
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Mckennan Dba Avera Worthington Specialty Clinics
Authorized official Norton, Julie N
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated May 31st, 2017 - about 8 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 1306939806 NPPES
Minnesota MEDICAID 951015000

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