AVERA MCKENNAN NPI 1952841629

NPI Information

NPI: 1952841629
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA DIALYSIS MILBANK

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
301 FLYNN DR
STE 4
MILBANK, SD
ZIP 57252
Phone: (605) 432-3340
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AVERA MCKENNAN is an end-stage renal disease (esrd) treatment clinic center in Milbank, SD. AVERA MCKENNAN NPI is 1952841629. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Dialysis Milbank.

The provider's business location address is:

301 FLYNN DR
STE 4
MILBANK, SD
ZIP 57252-508
Phone: (605) 432-3340
Fax: (605) 432-3344

The provider's authorized official is David Flicek .
The authorized official title is President/ceo and has the following contact phone number (605) 322-7915.

The enumeration date for this NPI number is 3/1/2017 and was last updated on 7/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	10563	SOUTH DAKOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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