AVERA MEDICAL GROUP SURGERY PIERRE – NPI #1083859532
Clinic/Center

AVERA MEDICAL GROUP SURGERY PIERRE is an AHC clinic located in PIERRE, SD. NPPES has assigned the NPI number 1083859532 to AVERA MEDICAL GROUP SURGERY PIERRE on December 12, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA MEDICAL GROUP SURGERY PIERRE” is a dba name, the actual legal business name for this organization is AVERA MCKENNAN. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 15 years ago on Apr 29, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERA MEDICAL GROUP SURGERY PIERRE below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1083859532
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVERA MCKENNAN
Doing Business As (dba): AVERA MEDICAL GROUP SURGERY PIERRE
Primary location
100 MAC LN
PIERRE, SD 57501-3391
Phone: (605) 224-5901 Fax: (605) 945-3244
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JULIE NORTON
VP FINANCE
Phone: (605) 322-6375
Updated
Identifiers

Identifiers for AVERA MEDICAL GROUP SURGERY PIERRE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRR MEDICARESDDO6835
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 SD 11146

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.