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AVERA MEDICAL GROUP HERON LAKE
NPI 1841372125
Clinic/Center in Worthington, MN

Active since October 19, 2006
508 10TH ST, WORTHINGTON, MN 56187(507) 372-2921(507) 372-5789 Get Directions Write a Review

NPPES record last updated: May 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avera Medical Group Heron Lake NPPES

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

AVERA MEDICAL GROUP HERON LAKE (NPI 1841372125) is a healthcare organization registered as a clinic/center in Worthington, Minnesota and active in the NPI registry since October 2006. The organization lists Julie Norton, Cfo/svp, as its authorized official.

NPPES Registry Identity

NPI1841372125
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAVERA MCKENNAN
Location Address508 10TH STWorthington, MN 56187-2343
Mailing Address508 10th StWorthington, MN 56187-2343 · (507) 372-2921 · Fax (507) 372-5789
Phone(507) 372-2921
Fax(507) 372-5789
Organization SubpartNo
Authorized OfficialJulie NortonCfo/svp · (605) 322-7818
Enumeration DateOctober 19, 2006
Last NPPES UpdateMay 31, 2017
✔ NPI 1841372125 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).
508 10TH ST, Worthington, MN 56187
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Other Names 1

Doing Business AsAvera Medical Group Heron Lake

Other Providers at the Same Location NPPES 3

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

GARABET S KHATCHIKIAN MD
Internal Medicine
508 10TH ST
WORTHINGTON, MN 56187
Nobles County (507) 372-2921
RICHARD D SUDMEIER MD
Internal Medicine
508 10TH ST
WORTHINGTON, MN 56187
Nobles County (507) 372-2921
PEGGY SAXTON R.D.
Dietitian, Registered
508 10TH ST
WORTHINGTON, MN 56187
Nobles County (507) 372-2921

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 1841372125. It was assigned to this organization in the NPPES registry on October 19, 2006. The provider is doing business as Avera Medical Group Heron Lake.

Where is Avera Mckennan located?

Avera Mckennan is located at 508 10th St, Worthington, MN 56187. The listed phone number is (507) 372-2921.

What is Avera Mckennan's specialty?

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

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on May 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.