Avera Mckennan Home Infusion

LBN: Avera Mckennan
Avera Mckennan Home Infusion is an health care organization with primary practice located at 1020 S Cliff Ave , Sioux Falls SD 57104-5324. The organization recently has 6 registered licenses in different health care specialties including Agencies / Home Infusion, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Agencies / Home Infusion is the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-8322, or through Place, Ronald Joseph via phone (605) 322-7903.

Contact Information

Primary practice address
1020 S Cliff Ave Sioux Falls SD 57104-5324
Phone: (605) 322-8322
Fax: (605) 322-8317
Website:
Map and Directions
Authorized official contact:
Name: Place, Ronald Joseph Doctor of Medicine (MD)
Phone: (605) 322-7903

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X 1001663 South Dakota
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 100-1663 South Dakota
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 100-1663 South Dakota
Suppliers / Pharmacy 333600000X 1001663 South Dakota
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 100-1663 South Dakota
Suppliers / Specialty Pharmacy 3336S0011X 100-1663 South Dakota

Profile Details

NPI number 1164492906
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Mckennan Home Infusion
Authorized official Place, Ronald Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2006
Last updated Oct 4th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164492906 NPPES
South Dakota MEDICAID 8504010
South Dakota MEDICAID 350516200
South Dakota MEDICAID 9166500
South Dakota MEDICAID 4304971

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