Avera Medical Group Nephrology Sioux Falls

LBN: Avera Mckennan
Avera Medical Group Nephrology Sioux Falls is an health care organization with primary practice located at 1315 S. Cliff Ave. Ste. 2000, Sioux Falls SD 57105-1058. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-5800, or through Flicek, David via phone (605) 322-8000.

Contact Information

Primary practice address
1315 S. Cliff Ave. Ste. 2000 Sioux Falls SD 57105-1058
Phone: (605) 322-5800
Fax: (605) 322-5801
Website:
Map and Directions
Authorized official contact:
Name: Flicek, David
Phone: (605) 322-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1104892892
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Nephrology Sioux Falls
Authorized official Flicek, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 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 1104892892 NPPES
Minnesota Other 118T5NO BCBS
Minnesota Other 118T5NO BCBS
Minnesota MEDICAID 0550814 BCBS
Minnesota MEDICAID 12903 BCBS
Minnesota Other 9191250 BCBS
Minnesota Other 031013001 BCBS
Minnesota MEDICAID 210830500 BCBS
Minnesota Other 0008493 BCBS
Minnesota Other 370624200 BCBS
Minnesota Other 81741 BCBS

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