OrganizationActive
Avera Mckennan
NPI 1215967203 · Clinic/Center · Fairfax, SD
Avera Mckennan is a Clinic/Center organization in Fairfax, SD (NPI 1215967203).
Provider details
- NPI number
- 1215967203
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Julie Norton, Vice President of Finance(605) 322-6375
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
421 Main St
Fairfax, SD 57335-0354
Phone: (605) 654-2366
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 354
Fairfax, SD 57335-0354
Other names (DBA / former)
- Doing business as
- Avera Medical Group Fairfax
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2011-03-21
Frequently asked questions
- What is Avera Mckennan's NPI number?
- Avera Mckennan's National Provider Identifier (NPI) is 1215967203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avera Mckennan?
- Avera Mckennan is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Avera Mckennan located?
- Avera Mckennan's practice location on file with NPPES is 421 Main St, Fairfax, SD 57335-0354.
- What is Avera Mckennan's phone number?
- The practice phone number listed in the NPPES registry for Avera Mckennan is (605) 654-2366.
- Who is the authorized official for Avera Mckennan?
- The authorized official listed on Avera Mckennan's NPPES record is Julie Norton, Vice President of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avera Mckennan's NPI active?
- Yes — Avera Mckennan's NPI (1215967203) is active in the NPPES registry as of the last update on 2011-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.