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Avera Mckennan

Family Medicine Physician in Garretson, SD · enumerated 2007 · authorized official Julie Norton, Senior Vice President Finance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174671242

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Registry record

Entity type Organization (Type 2)
Legal business name Avera Mckennan
Other name <Unavail>
Practice address 980 4th Street, Garretson, SD, 57030
Enumeration date Jan 8, 2007
Last updated in NPPES Mar 21, 2011

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 3579 (SD) Primary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 4884 (SD) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 5054 (SD) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 5214 (SD) Secondary

Authorized official

Name Julie Norton
Title Senior Vice President Finance

Other identifiers

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

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.

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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 2026-07-13. Provider record last updated 2011-03-21.