Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AVERA MCKENNAN
Active OrganizationEnd-Stage Renal Disease Treatment Facility · WAGNER, SD
Registration Details
- NPI Number
- 1538527106
- Provider Type
- Organization
- NPI Issued
- Feb 10, 2016 (10.201750047678 yrs)
- Last Updated
- Oct 4, 2023
- License
-
10563 (SD)
Practice Information
- Address
-
310 W SD HIGHWAY 46WAGNER, SD, 573809304Browse SD providers · Browse ZIP 57380
- Phone
- 6053844980
- Fax
- 6053844990
- Primary Specialty
-
End-Stage Renal Disease Treatment Facility
261QE0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.