Avera Mckennan Behavioral Health Services

LBN: Avera Mckennan
Avera Mckennan Behavioral Health Services is an health care organization with primary practice located at 4400 W 69Th St , Sioux Falls SD 57108-8170. The organization recently has only one registered license in Hospital Units / Psychiatric Unit, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-4000, or through Place, Ronald Joseph via phone (605) 322-7903.

Contact Information

Primary practice address
4400 W 69Th St Sioux Falls SD 57108-8170
Phone: (605) 322-4000
Fax: (605) 322-4009
Website:
Map and Directions
Authorized official contact:
Name: Place, Ronald Joseph Doctor of Medicine (MD)
Phone: (605) 322-7903

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 10563 South Dakota

Profile Details

NPI number 1225201205
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Mckennan Behavioral Health Services
Authorized official Place, Ronald Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 10th, 2008
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 1225201205 NPPES
Minnesota MEDICAID 475747502

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