Avera Medical Group Orthopedics & Sports Medicine is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Mitchell, South Dakota. It is situated at 625 N Foster St, Suite 200, Mitchell and its contact number is 605-996-3963. The authorized person of Avera Medical Group Orthopedics & Sports Medicine is Douglas Ekeren
who is President/ceo of the store and his/her contact number is 605-668-8322. Primary license number for Avera Medical Group Orthopedics & Sports Medicine is 100-1023 in South Dakota. Avera Medical Group Orthopedics & Sports Medicine is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Center Profile:
Avera Medical Group Orthopedics & Sports Medicine Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
625 N Foster St, Suite 200, Mitchell, South Dakota, 57301-2969
Phone:
605-996-3963
Fax:
605-996-0718
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Douglas Ekeren
Position:
President/ceo
Contact Number:
605-668-8322
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Avera Medical Group Orthopedics & Sports Medicine center are as mentioned below.
NPI Number:
1710184569
NPI Enumeration Date:
27 Jun, 2007
NPI Last Update On:
20 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Avera Medical Group Orthopedics & Sports Medicine are as mentioned below.
Specialization
License Number
State
Status
100-1023
South Dakota
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0100130
Medicaid
South Dakota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Avera Medical Group Orthopedics & Sports Medicine 625 N Foster St, Suite 200 Mitchell, South Dakota
Zip:
57301-2969
Phone Number:
605-995-2000
Fax Number:
605-995-2441
Patients can reach Avera Medical Group Orthopedics & Sports Medicine at 625 N Foster St, Suite 200, Mitchell, South Dakota or can call to book an appointment on 605-996-3963. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.