Organization
AVERA MCKENNAN
Active
Other names
Moody County Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
BARB J. SHEA (BUSINESS OFFICE ASSISTANT)
(605) 997-3779
Entity
Organization
Contact information
Practice address
309 N PRAIRIE ST, FLANDREAU, SD 57028-1253
(605) 997-3779
(605) 997-3273
Mailing address
309 N PRAIRIE ST, FLANDREAU, SD 57028-1253
(605) 997-3779
(605) 997-3273
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5102100
—
SD
Enumeration date
07/16/2007
Last updated
03/09/2012
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