Organization
AVERA MCKENNAN
Active
Other names
Avera Butte Home Health Branch
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE NORTON (VP/CFO)
(605) 322-6375
Entity
Organization
Contact information
Practice address
730 WILSON ST, BUTTE, NE 68722-0000
(605) 835-8394
Mailing address
PO BOX 408, GREGORY HOMECARE DEPT, GREGORY, SD 57533-0408
(605) 835-8394
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
10563
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171450
—
SD
05
—
9550490
—
SD
05
—
9556080
—
SD
Enumeration date
05/18/2007
Last updated
03/12/2010
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