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Avera Mckennan — NPI 1952330706, Gregory, SD | NPI Central

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NPI 1952330706

OrganizationActive

Avera Mckennan

NPI 1952330706 · Skilled Nursing Facility · Gregory, SD

Provider details

NPI number: 1952330706
Entity type: Organization
Primary specialty: Skilled Nursing FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: David Flicek, Ceo(605) 322-7915
License: 10625 (SD)

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000XLicense 10625 (SD)
Nursing & Custodial Care Facilities

Practice location

126 S Logan Ave

Gregory, SD 57533-1612

Phone: (605) 835-8296

Fax: (605) 835-9422

Approximate (ZIP-level) locationGet directions

More SD providers

Mailing address

Po Box 408

Gregory, SD 57533-0408

Other names (DBA / former)

Doing business as: Avera Rosebud Country Care Center

Additional practice locations (1)

400 Park Avenue
Gregory, SD 57533-1302
Phone: (605) 835-8296
Fax: (605) 835-9422

Registry dates

Enumerated: 2006-07-02
Last updated: 2023-02-10
Certified: 2023-02-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.