Organization
AVERA MCKENNAN
Active
Other names
Avera Medical Group Fairfax
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE N NORTON (VICE PRESIDENT OF FINANCE)
(605) 322-6375
Entity
Organization
Contact information
Practice address
421 MAIN ST, FAIRFAX, SD 57335-0354
(605) 654-2366
Mailing address
PO BOX 354, 421 MAIN, FAIRFAX, SD 57335-0354
(605) 654-2366
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000028
WELLMARK BC/BS
SD
Enumeration date
07/04/2006
Last updated
03/21/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up