Avera Mckennan

Avera Mckennan is a healthcare organization registered as Family Medicine Physician in Garretson, SD, holding Type 2 (organization) NPI 1174671242 since 2007. The authorized official on file is Julie Norton, Senior Vice President Finance.

✓ Active NPI ✓ Valid NPI checksum

NPI	1174671242
Entity type	Organization (Type 2)
Legal business name	Avera Mckennan
Other name	<Unavail>
Practice address	980 4TH STREET, Garretson, SD, 57030
Phone	6055943431
Enumeration date	2007-01-08
Last updated in NPPES	2011-03-21

Authorized official

Name	Julie Norton
Title	Senior Vice President Finance
Phone	6053226375

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207Q00000X	Family Medicine Physician	Secondary	4884	SD
207Q00000X	Family Medicine Physician	Secondary	5054	SD
207Q00000X	Family Medicine Physician	Secondary	5214	SD
207Q00000X	Family Medicine Physician	Primary	3579	SD

Other identifiers

Identifier	Type	State	Issuer
5611292	Medicaid	SD	—
5610962	Medicaid	SD	—
5609088	Medicaid	SD	—
5611473	Medicaid	SD	—

Copy-ready billing details

Provider: Avera Mckennan
NPI: 1174671242
Taxonomy: 207Q00000X (Family Medicine Physician)
Address: 980 4TH STREET, Garretson, SD, 57030

Verify this record

Cross-check NPI 1174671242 against the authoritative CMS record: view Avera Mckennan on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Avera Mckennan located?

The practice location on file with NPPES is in Garretson, SD.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-03-21. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-03-21.