AVERA MEDICAL GROUP COLTON – NPI #1386793776
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

AVERA MEDICAL GROUP COLTON is a provider located in COLTON, SD. NPPES has assigned the NPI number 1386793776 to AVERA MEDICAL GROUP COLTON on January 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA MEDICAL GROUP COLTON” is a dba name, the actual legal business name for this organization is AVERA MCKENNAN. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 15 years ago on Mar 21, 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 COLTON below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1386793776
Enumeration Date

(more than 19 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 COLTON
Primary location
300 S. SHERMAN
COLTON, SD 57018
Phone: (605) 446-3233 Fax:
Mailing address
PO BOX 9
300 S. SHERMAN
COLTON, SD 57018
Phone: (605) 446-3233 Fax:
Organization Subpart
No
Authorized Official
JULIE NORTON
SENIOR VICE PRESIDENT FINANCE
Phone: (605) 322-6375
Updated
Identifiers

Identifiers for AVERA MEDICAL GROUP COLTON

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
MEDICAIDSD5609026
MEDICAIDSD5611472
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
207Q00000X
- Family Medicine (Primary)		 SD 5214

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.