Avera Medical Group University Psychiatry Associates Sioux Falls

LBN: Avera Mckennan
Avera Medical Group University Psychiatry Associates Sioux Falls is an health care organization with primary practice located at 4400 W 69Th St Ste 1500 , Sioux Falls SD 57108-8171. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-5700, or through Flicek, David via phone (605) 322-8000.

Contact Information

Primary practice address
4400 W 69Th St Ste 1500 Sioux Falls SD 57108-8171
Fax: (605) 322-5704
Website:
Authorized official contact:
Name: Flicek, David

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1013980598
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group University Psychiatry Associates Sioux Falls
Authorized official Flicek, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2006
Last updated Oct 24th, 2018 - about 7 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 1013980598 NPPES
Iowa MEDICAID 0561456
Iowa Other 50M77UN
Iowa Other 81G87AV
Iowa Other 22591
Iowa Other 86467
Iowa Other 0040470
Iowa Other 040121002
Iowa MEDICAID 996458400
Iowa Other 81G97AV

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