| NPI | 1093812471 |
|---|---|
| Former Legal Business Name | AVERA MCKENNAN DBA AVERA FULDA CLINIC |
| Entity Type | Organization |
| Authorized Contact | JULIE NORTON CFO/SVP 605-322-7818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-05-31 |