Organization
AVERA MCKENNAN
Active
Other names
Avera Spirit Lake Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE N NORTON (CFO)
(605) 322-6375
Entity
Organization
Contact information
Practice address
2700 23RD STREET, SPIRIT LAKE, IA 51360
(712) 336-2410
(712) 336-3241
Mailing address
2700 23RD STREET, SPIRIT LAKE, IA 51360
(712) 336-2410
(712) 336-3241
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146241
—
IA
Enumeration date
10/10/2006
Last updated
05/31/2017
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