Avera McKennan
NPI 1427090760ActiveOrganization· Clinic/Center· Gregory, SD
Clinic/Center in Gregory, South Dakota, registered in NPPES in June 2006. The authorized official on file is David William Flicek, President/Ceo. Enrolled in Medicare as dme supplier - physician - family practice.
Overview
| NPI | 1427090760 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 12, 2006 |
| Last updated in NPPES | Nov 17, 2025 |
| Certified by provider | Nov 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Family Practice (SD) |
|---|