Avera Medical Group Waubay

LBN: Avera Mckennan
Avera Medical Group Waubay is an health care organization with primary practice located at 80 N Main St , Waubay SD 57273. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Avera Mckennan can be contacted via phone (605) 947-4322, or through Flicek, David via phone (605) 322-7916.

Contact Information

Primary practice address
80 N Main St Waubay SD 57273
Fax: (605) 947-3423
Website:
Authorized official contact:
Name: Flicek, David

Health care specialties

Profile Details

NPI number 1427003946
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Waubay
Authorized official Flicek, David
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Sep 10th, 2020 - about 4 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 1427003946 NPPES
South Dakota MEDICAID 5300800
South Dakota Other 43D0974942

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