Avera Medical Group Milbank

LBN: Avera Mckennan
Avera Medical Group Milbank is an health care organization with primary practice located at 301 Flynn Dr , Milbank SD 57252-1508. 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) 432-4587, or through Place, Ronald Joseph via phone (605) 322-7903.

Contact Information

Primary practice address
301 Flynn Dr Milbank SD 57252-1508
Phone: (605) 432-4587
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Place, Ronald Joseph Doctor of Medicine (MD)
Phone: (605) 322-7903

Health care specialties

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

Profile Details

NPI number 1750488730
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Milbank
Authorized official Place, Ronald Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 12th, 2024 - about last year

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 1750488730 NPPES
South Dakota Other 10148 MEDICAID SD
South Dakota Other 43D0407375 MEDICAID SD
South Dakota Other 148019700 MEDICAID SD

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