Avera Medical Group Colton

LBN: Avera Mckennan
Avera Medical Group Colton is an health care organization with primary practice located at 300 S. Sherman , Colton SD 57018. 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) 446-3233, or through Norton, Julie N. via phone (605) 322-6375.

Contact Information

Primary practice address
300 S. Sherman Colton SD 57018
Fax:
Website:
Authorized official contact:
Name: Norton, Julie N.

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3570 South Dakota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5214 South Dakota

Profile Details

NPI number 1386793776
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Colton
Authorized official Norton, Julie N.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 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 1386793776 NPPES
South Dakota MEDICAID 5609026
South Dakota MEDICAID 5611472

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