Avera Medical Group Radiology Sioux Falls

LBN: Avera Mckennan
Avera Medical Group Radiology Sioux Falls is an health care organization with primary practice located at 1325 S. Cliff Ave. , Sioux Falls SD 57105-1007. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-1600, or through Flicek, David via phone (605) 322-8000.

Contact Information

Primary practice address
1325 S. Cliff Ave. Sioux Falls SD 57105-1007
Phone: (605) 322-1600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Flicek, David
Phone: (605) 322-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1053680678
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Radiology Sioux Falls
Authorized official Flicek, David
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2011
Last updated Oct 24th, 2018 - about 6 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 1053680678 NPPES
South Dakota Other CE0909 RAILROAD MEDICARE
South Dakota Other CG9797 RAILROAD MEDICARE

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