| Organization Name: | AVERA MCKENNAN |
| NPI Number: | 1083859532 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE N NORTON (VP FINANCE) |
| Mailing Address: | 100 Mac Ln Pierre |
| State: | SD US |
| Postal Code: | 575013391 |
| Phone Number: | 6052245901 |
| Fax Number: | 6059453244 |
| NPI Enumeration Date: | 12/12/2008 |
| NPI Last Update Date: | 04/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 11146 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |