OrganizationActive
Avera Mckennan
NPI 1770680787 · Rural Health Clinic/Center · Wilmot, SD
Provider details
- NPI number
- 1770680787
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Flicek, President/Ceo(605) 322-7916
Specialties & taxonomies
Ambulatory Health Care Facilities
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
409 4th St
Wilmot, SD 57279-2214
Phone: (605) 938-4351
Fax: (605) 938-4351
Approximate (ZIP-level) locationGet directions
Mailing address
409 4th St
Wilmot, SD 57279-2214
Other names (DBA / former)
- Doing business as
- Avera Medical Group Wilmot
- Doing business as
- Avera Medical Group Wilmot
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2020-09-10
- Certified
- 2020-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.