Organization · Type 2 NPI
Avera McKennan
Clinic/Center · Fairfax, SD
NPI number
1215967203
Active
Practice location
421 Main St
Fairfax, SD 57335-0354
Mailing address
PO Box 354, 421 Main
Fairfax, SD 57335-0354
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1215967203
Avera McKennan's National Provider Identifier is 1215967203, issued on Jul 4, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fairfax, SD. The record was last updated on Mar 21, 2011.