Avera Tea Medical Clinic

LBN: Avera Mckennan
Avera Tea Medical Clinic is an health care organization with primary practice located at 725 E Figzel Ct Suite 100, Tea SD 57064-2276. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Avera Mckennan can be contacted via phone (605) 368-9899, or through Farr, Ronald J via phone (605) 368-9899.

Contact Information

Primary practice address
725 E Figzel Ct Suite 100 Tea SD 57064-2276
Phone: (605) 368-9899
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Farr, Ronald J
Phone: (605) 368-9899

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1831230408
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Tea Medical Clinic
Authorized official Farr, Ronald J
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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