AVERA MEDICAL GROUP LARCHWOOD
NPI 1871527507
Clinic/Center - Primary Care in Larchwood, IA

Active since July 10, 2006CLIA 16D0901662 · Accreditation
916 HOLDER ST, LARCHWOOD, IA 51241(712) 477-2185(712) 477-2186 Get Directions Write a Review

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

About Avera Medical Group Larchwood NPPES

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

AVERA MEDICAL GROUP LARCHWOOD (NPI 1871527507) is a healthcare organization registered as a primary care in Larchwood, Iowa and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through January 24, 2027 and lists Julie N Norton, Sr Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1871527507
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAVERA MCKENNAN
Location Address916 HOLDER STLarchwood, IA 51241-0008
Mailing AddressPo Box 86430Sioux Falls, SD 57118-6430 · (605) 322-4900 · Fax (605) 322-4910
Fax(712) 477-2186
Organization SubpartNo
Authorized OfficialJulie N NortonSr Vice President Of Finance · (605) 322-6375
Enumeration DateJuly 10, 2006
Last NPPES UpdateMay 16, 2012
NPI 1871527507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
916 HOLDER ST, Larchwood, IA 51241

Other Names 1

Doing Business AsAvera Medical Group Larchwood

Other Identifiers 3

Medicare ID-Type Unspecified19986IA
Medicaid2900993IA
Medicaid0425074IA

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 16D0901662

Avera Medical Group Larchwood · Larchwood, IA
Active · expires Jan 24, 2027
CLIA Number16D0901662
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorStacy Prisbe
Laboratory Phone(712) 477-2185
Laboratory LocationAvera Medical Group Larchwood916 Holder Street PO Box 8, Larchwood, IA 51241
CLIA data matches this NPI record on: Address 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

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

Nurse Practitioner (Family)
916 HOLDER ST
LARCHWOOD, IA 51241

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 1871527507. It was assigned to this organization in the NPPES registry on July 10, 2006. The provider is doing business as Avera Medical Group Larchwood.

Where is Avera Mckennan located?

Avera Mckennan is located at 916 Holder St, Larchwood, IA 51241. The listed phone number is (712) 477-2185.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Avera Mckennan hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 16D0901662) is associated with this NPI, valid through January 24, 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 and Medica 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.