Avera Medical Group Spencer

LBN: Avera Mckennan
Avera Medical Group Spencer is an health care organization with primary practice located at 116 E 11Th St Suite 101, Spencer IA 51301-4364. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Avera Mckennan can be contacted via phone (712) 264-3500, or through Norton, Julie N via phone (605) 322-6375.

Contact Information

Primary practice address
116 E 11Th St Suite 101 Spencer IA 51301-4364
Phone: (712) 264-3500
Fax: (712) 264-3535
Website:
Map and Directions
Authorized official contact:
Name: Norton, Julie N
Phone: (605) 322-6375

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Iowa
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Iowa
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Iowa
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X Iowa

Profile Details

NPI number 1902886567
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Spencer
Authorized official Norton, Julie N
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2006
Last updated Mar 12th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902886567 NPPES
Iowa MEDICAID 0252791

Popular Providers