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Organization
AVERA MCKENNAN
Active
Organization
AVERA MCKENNAN
Active
Other names
Avera McKennan Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE NORTON (VP/CFO)
(605) 322-6375
Entity
Organization
Contact information
Practice address
1016 S CLIFF AVE, HOME HEALTH, SIOUX FALLS, SD 57104-5324
(605) 322-7740
(605) 322-7777
Mailing address
800 E 21ST ST, SIOUX FALLS, SD 57105-1016
(605) 322-8000
(605) 322-6449
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
10563
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170270
—
SD
05
—
0514075
—
IA
01
—
87023
BLUE CROSS OF SD
SD
05
—
9550100
—
SD
Enumeration date
07/24/2006
Last updated
03/12/2010
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