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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386793776 | NPPES |
South Dakota | MEDICAID | 5609026 | |
South Dakota | MEDICAID | 5611472 |
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