Organization Name: | AVERA MCKENNAN |
NPI Number: | 1548272818 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIE NORTON (VP/CFO) |
Mailing Address: | 901 E Virgil Ave Milbank |
State: | SD US |
Postal Code: | 572522124 |
Phone Number: | 6054324538 |
Fax Number: | 6054325412 |
NPI Enumeration Date: | 08/13/2006 |
NPI Last Update Date: | 06/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 48451 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |