Avera Mckennan | |
1216 Ryans Rd Suite 1 Worthington MN 56187-1722 | |
(507) 372-2921 | |
(507) 372-5789 |
Full Name | Avera Mckennan |
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Speciality | Family Medicine |
Location | 1216 Ryans Rd, Worthington, Minnesota |
Authorized Official Name and Position | Julie N Norton (CFO/SVP) |
Authorized Official Contact | 6053227818 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Avera Mckennan 1216 Ryans Rd Suite 1 Worthington MN 56187-1722 Ph: (507) 372-2921 | Avera Mckennan 1216 Ryans Rd Suite 1 Worthington MN 56187-1722 Ph: (507) 372-2921 |
NPI Number | 1306939806 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 05/31/2017 |
Medicare PECOS PAC ID | 0345157103 |
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Medicare Enrollment ID | O20100930015569 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306939806 | NPI | - | NPPES |
951015000 | Medicaid | MN |
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