Avera McKennan
Avera McKennan is a Rural Health Clinic/Center in Waubay, South Dakota. Licensed in South Dakota. Registered with an NPI since 2006.
- Licensed in
- SD
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
80 N Main StWaubay, SD 57273
Phone: (605) 947-4322
Fax: (605) 947-3423
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 0317 (SD) |
Record details
| NPI number | 1427003946 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Flicek — President/Ceo · (605) 322-7916 |
| Other names | Avera Medical Group Waubay; Avera Medical Group Waubay |
| NPI enumerated | May 23, 2006 |
| Last updated in NPPES | September 10, 2020 |
| Certification date | September 10, 2020 |
| Mailing address | 80 N Main St, Po Box 215, Waubay, SD 57273 |