| Avera Mckennan Outpatient Therapy Mcgreevy Main | |
|
1200 S 7th Ave Suite 2 Sioux Falls SD 57105-0900 | |
| (605) 782-8307 | |
| (605) 782-8322 |
| Full Name | Avera Mckennan Outpatient Therapy Mcgreevy Main |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1200 S 7th Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Julie N Norton (VP/CFO) |
| Authorized Official Contact | 6053226375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Mckennan Outpatient Therapy Mcgreevy Main Po Box 5045 Attn: Provider Enrollment Sioux Falls SD 57117-5045 Ph: (605) 322-6400 | Avera Mckennan Outpatient Therapy Mcgreevy Main 1200 S 7th Ave Suite 2 Sioux Falls SD 57105-0900 Ph: (605) 782-8307 |
| NPI Number | 1114246576 |
|---|---|
| Provider Enumeration Date | 05/25/2010 |
| Last Update Date | 07/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114246576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 10563 (South Dakota) | Primary |
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