Avera McKennan
Avera McKennan is a Rural Health Clinic/Center in Revillo, South Dakota. Licensed in South Dakota. Registered with an NPI since 2006.
- Licensed in
- SD
- In the registry since
- 2006
Practice location Address checks out
305 N 2nd AveRevillo, SD 57259-0006
Phone: (605) 623-4695
Fax: (605) 623-4318
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X (SD) |
|---|
Record details
| NPI number | 1588677892 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Flicek — President/Ceo · (605) 322-7915 |
| Other names | Avera Medical Group Revillo; Avera Medical Group Revillo |
| NPI enumerated | August 15, 2006 |
| Last updated in NPPES | July 2, 2021 |
| Certification date | July 2, 2021 |
| Mailing address | 901 E Virgil Ave, Milbank, SD 57252-2124 |