Avera Medical Group Urogynecology Sioux Falls

LBN: Avera Mckennan
Avera Medical Group Urogynecology Sioux Falls is an health care organization with primary practice located at 6100 S Louise Ave Ste 1110 , Sioux Falls SD 57108-6021. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 504-1570, or through Flicek, David via phone (605) 322-8000.

Contact Information

Primary practice address
6100 S Louise Ave Ste 1110 Sioux Falls SD 57108-6021
Phone: (605) 504-1570
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Flicek, David
Phone: (605) 322-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1003188269
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Urogynecology Sioux Falls
Authorized official Flicek, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2012
Last updated Nov 1st, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003188269 NPPES
South Dakota Other CE0909 RR MEDICARE

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