OrganizationActive
Avera Mckennan
NPI 1851491690 · Family Medicine Physician · Windom, MN
Provider details
- NPI number
- 1851491690
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Avera Mckennan
- Organization subpart
- Yes
- Authorized official
- David Flicek, President/Ceo(605) 322-7915
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 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
2020 Hospital Dr., Ste. 2
Windom, MN 56101-1766
Phone: (507) 831-1703
Fax: (507) 831-5668
Approximate (ZIP-level) locationGet directions
Mailing address
800 E 21st Street
Sioux Falls, SD 57117-5045
Other names (DBA / former)
- Doing business as
- Avera Medical Group Windom
- Doing business as
- Avera Medical Group Windom
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2021-06-10
- Certified
- 2021-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.