Avera Mckennan
Avera Mckennan is a healthcare organization registered as Rural Health Clinic/Center in Revillo, SD, holding Type 2 (organization) NPI 1588677892 since 2006. The authorized official on file is David Flicek, President/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1588677892 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 305 N 2ND AVE, Revillo, SD, 57259 |
| Phone | 6056234695 |
| Fax | 6056234318 |
| Enumeration date | 2006-08-15 |
| Last updated in NPPES | 2021-07-02 |
Authorized official
| Name | David Flicek |
|---|---|
| Title | President/Ceo |
| Phone | 6053227915 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QR1300X | Rural Health Clinic/Center | Primary | — | SD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4996359 | Other | SD | SD BLUE CROSS-REVILLO P# |
| 246933200 | Medicaid | MN | — |
| 9204609 | Other | SD | DAKOTACARE REVILLO PROV# |
| 228L6RE | Other | MN | MN BLUE CROSS-REVILLO P# |
| 5800490 | Medicaid | SD | — |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1588677892 Taxonomy: 261QR1300X (Rural Health Clinic/Center) Address: 305 N 2ND AVE, Revillo, SD, 57259
Verify this record
Cross-check NPI 1588677892 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
What is a Type 2 NPI?
What type of organization is Avera Mckennan?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2021-07-02.