Organization
AVERA MCKENNAN
Active
Other names
Avera Medical Group Butte
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
730 WILSON ST, BUTTE, NE 68722-0319
(402) 775-2174
Mailing address
PO BOX 319, 730 WILSON ST, BUTTE, NE 68722-0319
(402) 775-2174
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000028
WELLMARK BC/BS
SD
05
—
5300213
—
SD
Enumeration date
07/04/2006
Last updated
04/25/2011
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