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Organization
AVERA MCKENNAN
Active
Organization
AVERA MCKENNAN
Active
Other names
Avera Medical Group Elkton
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE N. NORTON (SENIOR VICE PRESIDENT OF FINANCE)
(605) 322-6375
Entity
Organization
Contact information
Practice address
203 N ELK ST, ELKTON, SD 57026-2124
(605) 542-7701
(605) 542-7291
Mailing address
212 N PRAIRIE ST, FLANDREAU, SD 57028-1243
(605) 997-2741
(605) 997-2418
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0571919
—
IA
05
—
10025371500
—
NE
01
—
106366608
DEPARTMENT OF LABOR
SD
05
—
126277700
—
MN
01
—
659S2FL
BCBS OF MN
MN
05
—
80484900
—
WI
01
—
9216572
DAKOTCARE
SD
01
—
95027
HEALTHPARTNERS
SD
01
—
AH908107523
PREFERRED ONE
SD
Enumeration date
11/01/2006
Last updated
02/16/2011
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