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Avera Mckennan

Clinical Medical Laboratory in Worthington, MN · enumerated 2008 · authorized official Kelli Van Grouw, Clinic Manager.

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

National Provider Identifier

1700062213

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Registry record

Entity type Organization (Type 2)
Legal business name Avera Mckennan
Other name <Unavail>
Parent organization Avera Mckennan
Practice address 1216 Ryans Rd, Worthington, MN, 56187
Phone (507) 372-2921
Fax (507) 372-5789
Enumeration date Jan 15, 2008
Last updated in NPPES Apr 1, 2013

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories Primary

Authorized official

Name Kelli Van Grouw
Title Clinic Manager
Phone (507) 372-2921

Other identifiers

Identifier Type State Issuer
690009299 Other MN RAILROAD MEDICARE
48941WO Other MN BCBS
951015000 Medicaid MN -

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

Who is the authorized official for Avera Mckennan?
NPPES lists Kelli Van Grouw (Clinic Manager) as the authorized official for this organization.
What is the NPI number for Avera Mckennan?
The NPI for Avera Mckennan is 1700062213, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-04-01.