AVERA MCKENNAN NPI 1134139215

NPI Information

  • NPI: 1134139215
  • Provider Name: AVERA MCKENNAN
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: AVERA MEDICAL GROUP CHAMBERLAIN
  • CLIA Number: 43D0407462
  • Address: 101 S FRONT STREET
    CHAMBERLAIN, SD
    ZIP 57325
  • Phone: (605) 234-6584

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NPI Details

AVERA MCKENNAN is a family medicine in Chamberlain, SD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AVERA MCKENNAN NPI is 1134139215. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group Chamberlain.

The provider's business location address is:

101 S FRONT STREET
CHAMBERLAIN, SD
ZIP 57325-027
Phone: (605) 234-6584
Fax: (605) 234-5002

The provider's authorized official is Julie N. Norton .
The authorized official title is Sr. Vp Finance / Cfo and has the following contact phone number (605) 322-6375.

The CLIA number assigned to this NPI record is 43D0407462 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 8/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S100146MEDICARE PINSOUTH DAKOTA
2DD0306MEDICARE PINSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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