AVERA MCKENNAN – NPI #1922413806
Clinic/Center

AVERA MCKENNAN is an AHC clinic located in BROOKINGS, SD. NPPES has assigned the NPI number 1922413806 to AVERA MCKENNAN on June 30, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 9 years ago on May 31, 2017. 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 MCKENNAN below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1922413806
Enumeration Date

(about 12 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
Primary location
400 2ND AVE
BROOKINGS, SD 57006
Phone: (605) 697-9514 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JULIE NORTON
CFO/SVP
Phone: (605) 322-7818
Updated
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
261QU0200X
- Clinic/Center / Urgent Care (Primary)		 SD CP000864

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.