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:
Authorized official contact:
Name: Place, Ronald Joseph Doctor of Medicine (MD)
Phone: (605) 322-7903
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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