Avera Medical Group Larchwood

LBN: Avera Mckennan
Avera Medical Group Larchwood is an health care organization with primary practice located at 916 Holder St , Larchwood IA 51241-0008. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (712) 477-2185, or through Norton, Julie N via phone (605) 322-6375.

Contact Information

Primary practice address
916 Holder St Larchwood IA 51241-0008
Phone: (712) 477-2185
Fax: (712) 477-2186
Website:
Map and Directions
Authorized official contact:
Name: Norton, Julie N
Phone: (605) 322-6375

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1871527507
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Larchwood
Authorized official Norton, Julie N
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated May 16th, 2012 - about 13 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 1871527507 NPPES
Iowa MEDICAID 0425074
Iowa MEDICAID 2900993

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