Moody County Public Health

LBN: Avera Mckennan
Moody County Public Health is an health care organization with primary practice located at 309 N Prairie St , Flandreau SD 57028-1253. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 997-3779, or through Shea, Barb J. via phone (605) 997-3779.

Contact Information

Primary practice address
309 N Prairie St Flandreau SD 57028-1253
Phone: (605) 997-3779
Fax: (605) 997-3273
Website:
Map and Directions
Authorized official contact:
Name: Shea, Barb J.
Phone: (605) 997-3779

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1760681175
LBN Legal business name Avera Mckennan
DBA Doing business as Moody County Public Health
Authorized official Shea, Barb J.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2007
Last updated Mar 9th, 2012 - about 12 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 1760681175 NPPES
South Dakota MEDICAID 5102100

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