Avera Medical Group Gastroenterology Sioux Falls

LBN: Avera Mckennan
Avera Medical Group Gastroenterology Sioux Falls is an health care organization with primary practice located at 6100 S Louise Ave Ste 3100 , Sioux Falls SD 57108-6021. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 504-1400, or through Flicek, David via phone (605) 322-8000.

Contact Information

Primary practice address
6100 S Louise Ave Ste 3100 Sioux Falls SD 57108-6021
Fax:
Website:
Authorized official contact:
Name: Flicek, David

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1194799882
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Gastroenterology Sioux Falls
Authorized official Flicek, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2006
Last updated Nov 1st, 2019 - 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 1194799882 NPPES
Minnesota Other 90876BA BLUE PLUS
Minnesota Other 92411422906 BLUE PLUS
Minnesota Other 90876BA BLUE PLUS
Minnesota MEDICAID 0530592 BLUE PLUS
Minnesota MEDICAID 817930100 BLUE PLUS
Minnesota Other 0006073 BLUE PLUS
Minnesota Other 370624200 BLUE PLUS
Minnesota Other 65737 BLUE PLUS

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