Organization · Type 2 NPI

Avera McKennan

Clinic/Center · Gregory, SD

NPI number 1427090760 Active

Practice location

110 S Logan Ave Ste A
Gregory, SD 57533-1614

Fax (605) 835-8033

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	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).

8 other providers at this address

NPI record

NPI: 1427090760
Entity type: Organization (Type 2)
Issued: Jun 12, 2006
Last updated: Nov 17, 2025
Status: Active

Other names

<unavail>
Avera Medical Group Gregory · doing business as
Avera Medical Group Gregory · doing business as

Authorized official

David William Flicek
President/ceo
(605) 322-7915

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1427090760

Avera McKennan's National Provider Identifier is 1427090760, issued on Jun 12, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Gregory, SD. The record was last updated on Nov 17, 2025.