Outpatient Physical Therapy - Fitness Center

LBN: Avera Mckennan
Outpatient Physical Therapy - Fitness Center 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 Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-6400, or through Place, Ronald Joseph via phone (605) 322-7903.

Contact Information

Primary practice address
1325 S Cliff Ave Sioux Falls SD 57105-1007
Phone: (605) 322-6400
Fax: (605) 322-6499
Website:
Map and Directions
Authorized official contact:
Name: Place, Ronald Joseph Doctor of Medicine (MD)
Phone: (605) 322-7903

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 10563 South Dakota

Profile Details

NPI number 1184834764
LBN Legal business name Avera Mckennan
DBA Doing business as Outpatient Physical Therapy - Fitness Center
Authorized official Place, Ronald Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Oct 4th, 2023 - about 3 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 1184834764 NPPES
South Dakota MEDICAID 5550050

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