Organization
AVERA MCKENNAN
Active
Other names
Avera Tea Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD J FARR (SR VICE PRESIDENT OF FINANCE)
(605) 368-9899
Entity
Organization
Contact information
Practice address
725 E FIGZEL CT, SUITE 100, TEA, SD 57064-2276
(605) 368-9899
Mailing address
PO BOX 90608, SIOUX FALLS, SD 57109-0608
(605) 782-8313
(605) 782-8386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
09/11/2025
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