Avera Mckennan
LBN: Avera Mckennan
Avera Mckennan is an health care organization with primary practice located at 4400 W 69Th St Ste 3100 , Sioux Falls SD 57108-8170. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty.
Avera Mckennan can be contacted via phone (605) 504-3522, or through Flicek, David William via phone (605) 322-7915.
Contact Information
Primary practice address
4400 W 69Th St Ste 3100
Sioux Falls SD 57108-8170
Phone: (605) 504-3522
Fax: (605) 322-4345
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | ||
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
NPI number | 1013668698 |
---|---|
LBN Legal business name | Avera Mckennan |
DBA Doing business as | |
Authorized official | Flicek, David William |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 14th, 2022 |
Last updated | Jan 14th, 2022 - about 2 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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