Avera Medical Group Flandreau

LBN: Avera Mckennan
Avera Medical Group Flandreau is an health care organization with primary practice located at 212 North Prairie Street , Flandreau SD 57028-1296. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 997-2471, or through Norton, Julie N via phone (605) 322-6375.

Contact Information

Primary practice address
212 North Prairie Street Flandreau SD 57028-1296
Phone: (605) 997-2471
Fax: (605) 997-2418
Website:
Map and Directions
Authorized official contact:
Name: Norton, Julie N
Phone: (605) 322-6375

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1619948007
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Flandreau
Authorized official Norton, Julie N
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2006
Last updated Feb 16th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619948007 NPPES
Nebraska MEDICAID 10025371500
Nebraska Other 106366608
Nebraska MEDICAID 126277700
Nebraska Other 9216572
Nebraska Other 10025485500
Nebraska MEDICAID 5340320
Nebraska Other 659S2FL
Nebraska Other 4995978
Nebraska Other 95027
Nebraska MEDICAID 0571919
Nebraska Other 659S2FL
Nebraska MEDICAID 80484900

Popular Providers