Organization · Type 2 NPI
Avera McKennan
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Gregory, SD
NPI number
1255435814
Active
Practice location
110 S Logan Ave
Gregory, SD 57533-1614
Mailing address
PO Box 408, 400 Park Ave.
Gregory, SD 57533-0408
Other practice locations
- 400 Park Ave., Gregory, SD 57533-0408 · (605) 835-8394
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
| Critical Access Hospital | 282NC0060X | 54875 (SD) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
3 other providers at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in Gregory
About NPI 1255435814
Avera McKennan's National Provider Identifier is 1255435814, issued on Sep 12, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Gregory, SD. The record was last updated on Oct 4, 2023.