Avera Medical Group Neonatology Sioux Falls

LBN: Avera Mckennan
Avera Medical Group Neonatology 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 / Neonatal-Perinatal Medicine, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-4425, 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) 322-4425
Fax: (605) 322-4499
Website:
Map and Directions
Authorized official contact:
Name: Flicek, David
Phone: (605) 322-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X

Profile Details

NPI number 1073585949
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Neonatology Sioux Falls
Authorized official Flicek, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2006
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 1073585949 NPPES
South Dakota Other 61598 HEALTHPARTNERS
South Dakota MEDICAID 0555367 HEALTHPARTNERS
South Dakota MEDICAID 065778600 HEALTHPARTNERS
South Dakota Other 370624200 HEALTHPARTNERS
South Dakota MEDICAID 6701340 HEALTHPARTNERS
South Dakota MEDICAID 6701500 HEALTHPARTNERS
South Dakota MEDICAID 6701790 HEALTHPARTNERS
South Dakota Other 7F824MA HEALTHPARTNERS
South Dakota Other 4999723 HEALTHPARTNERS
South Dakota MEDICAID 6701090 HEALTHPARTNERS

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