Organization
AVERA MCKENNAN
Active
Parent organization
AVERA MCKENNAN HOSPITAL
Other names
AVERA MEDICAL GROUP VOLGA
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVERA MCKENNAN HOSPITAL
Authorized official
MS. JULIE N. NORTON (CFO)
(605) 322-6375
Entity
Organization
Contact information
Practice address
210 KASAN AVE, VOLGA, SD 57071
(605) 627-5701
(605) 627-5990
Mailing address
210 KASAN AVE, VOLGA, SD 57071
(605) 627-5701
(605) 627-5990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
84
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7300750
—
SD
Enumeration date
07/20/2006
Last updated
03/11/2011
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