AVERA MEDICAL GROUP WILMOT
NPI 1770680787
Clinic/Center - Rural Health in Wilmot, SD
About Avera Medical Group Wilmot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA MEDICAL GROUP WILMOT (NPI 1770680787) is a healthcare organization registered as a rural health in Wilmot, South Dakota and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 2, 2027 and lists David Flicek, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Group Practice 1
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 Waiver 43D0901649
Avera Medical Group Wilmot · Wilmot, SDOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1770680787. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Avera Medical Group Wilmot.
Where is Avera Mckennan located?
Avera Mckennan is located at 409 4th St, Wilmot, SD 57279. The listed phone number is (605) 938-4351.
What is Avera Mckennan's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Does Avera Mckennan hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 43D0901649) is associated with this NPI, valid through June 2, 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 September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
