Organization
AVERA MCKENNAN
Active
Other names
Avera McKennan Outpatient Therapy McGreevy Main
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE N NORTON (VP/CFO)
(605) 322-6375
Entity
Organization
Contact information
Practice address
1200 S 7TH AVE, SUITE 2, SIOUX FALLS, SD 57105-0900
(605) 782-8307
(605) 782-8322
Mailing address
PO BOX 5045, ATTN: PROVIDER ENROLLMENT, SIOUX FALLS, SD 57117-5045
(605) 322-6400
(605) 322-6499
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
10563
SD
Other
Enumeration date
05/25/2010
Last updated
07/20/2010
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