AVERA MEDICAL GROUP HARRISBURG
NPI 1184690943
Clinic/Center in Harrisburg, SD

Active since February 23, 2006CLIA 43D1045574 · Accreditation
220 S CLIFF AVE STE 120, HARRISBURG, SD 57032(605) 213-8000(605) 213-8005 Get Directions Write a Review

NPPES record last updated: May 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avera Medical Group Harrisburg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA MEDICAL GROUP HARRISBURG (NPI 1184690943) is a healthcare organization registered as a clinic/center in Harrisburg, South Dakota and active in the NPI registry since February 2006. The organization holds an CLIA Accreditation certificate valid through March 19, 2027 and lists Julie N Norton, Sr Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1184690943
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAVERA MCKENNAN
Location Address220 S CLIFF AVE STE 120Harrisburg, SD 57032-2117
Mailing AddressPo Box 86430Sioux Falls, SD 57118-6430 · (605) 322-4900 · Fax (605) 322-4910
Fax(605) 213-8005
Organization SubpartNo
Authorized OfficialJulie N NortonSr Vice President Of Finance · (605) 322-6375
Enumeration DateFebruary 23, 2006
Last NPPES UpdateMay 16, 2012
NPI 1184690943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
220 S CLIFF AVE STE 120, Harrisburg, SD 57032

Other Names 1

Doing Business AsAvera Medical Group Harrisburg

Other Identifiers 2

Medicare NSC1202730019
Medicare ID-Type Unspecified100816SD

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 43D1045574

Avera Medical Group Harrisburg · Harrisburg, SD
Active · expires Mar 19, 2027
CLIA Number43D1045574
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorDr. Carilyn Van Kalsbeek
Laboratory Phone(605) 213-8000
Laboratory LocationAvera Medical Group Harrisburg220 S Cliff Suite 120, Harrisburg, SD 57032
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
220 S CLIFF AVE STE 120
HARRISBURG, SD 57032
Nurse Practitioner (Family)
220 S CLIFF AVE STE 120
HARRISBURG, SD 57032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1184690943. It was assigned to this organization in the NPPES registry on February 23, 2006. The provider is doing business as Avera Medical Group Harrisburg.

Where is Avera Mckennan located?

Avera Mckennan is located at 220 S Cliff Ave Ste 120, Harrisburg, SD 57032. The listed phone number is (605) 213-8000.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Avera Mckennan hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 43D1045574) is associated with this NPI, valid through March 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Avera Mckennan accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Avera Mckennan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on May 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.