| Organization Name: | AVERA MCKENNAN |
| NPI Number: | 1013024009 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE NORTON (VP/CFO) |
| Mailing Address: | 901 E Virgil Ave After Hours Clinic Milbank |
| State: | SD US |
| Postal Code: | 572522124 |
| Phone Number: | 6054324538 |
| Fax Number: | 6054325412 |
| NPI Enumeration Date: | 08/24/2006 |
| NPI Last Update Date: | 03/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC0050X |
| License Number: | 48451 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Critical Access Hospital |
| Taxonomy Definition: | An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |