Avera Mckennan

NPI: 1215967203

Avera Mckennan

Q: What is Avera Mckennan's NPI number?

Avera Mckennan's NPI number is 1215967203, a unique 10-digit identifier issued by CMS.

Q: What does Avera Mckennan specialize in?

Avera Mckennan specializes in Specialty not listed, taxonomy code 261Q00000X.

Q: Where does Avera Mckennan practice?

Avera Mckennan practices in Fairfax, SD 57335-0354.

Q: When was Avera Mckennan's NPI issued?

Avera Mckennan's NPI was issued on July 4, 2006.

Q: What is Avera Mckennan's provider type?

Avera Mckennan is an Organization under CMS NPI Type 2.

ActiveOrganizationSpecialty not listed

NPI issued: July 4, 2006

Quick Facts

NPI Number

1215967203

TypeOrganization

StatusActive

SpecialtySpecialty not listed

Taxonomy261Q00000X — Specialty not listed

Phone

(605) 654-2366

StateSD

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1215967203)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (July 4, 2006)

Data source: CMS NPPES

Provider Overview

AVERA MCKENNAN is a Healthcare provider based in Fairfax, SD who has been registered with CMS since 2006. They are affiliated with Avera Medical Group Fairfax. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1215967203

Provider TypeOrganization

StatusActive

Enumeration DateJuly 4, 2006

Practice Location

CityFairfax

StateSD

ZIP Code57335-0354

Phone(605) 654-2366

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code261Q00000X

License StateSD

Mailing Address

CityFairfax

StateSD

ZIP Code57335-0354

Phone(605) 654-2366

Same as practice location

Hospital & Organization Affiliations

🏢

Avera Medical Group Fairfax

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How to Use This NPI

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For Insurance Billing

Use NPI 1215967203 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1215967203for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1215967203 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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