# AVERA MCKENNAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avera McKennan Outpatient Therapy McGreevy Main
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114246576
- **Authorized official:** JULIE N NORTON (VP/CFO)
- **Authorized official phone:** (605) 322-6375

## Contact information

- **Practice address:** 1200 S 7TH AVE, SUITE 2, SIOUX FALLS, SD 57105-0900
- **Practice address phone:** (605) 782-8307
- **Practice address fax:** (605) 782-8322
- **Mailing address:** PO BOX 5045, ATTN: PROVIDER ENROLLMENT, SIOUX FALLS, SD 57117-5045
- **Mailing address phone:** (605) 322-6400
- **Mailing address fax:** (605) 322-6499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 10563 | SD | Yes |

## Other

- **Enumeration date:** 05/25/2010
- **Last updated:** 07/20/2010