Avera Medical Group Womens Health Specialists Sioux Falls

LBN: Avera Mckennan
Avera Medical Group Womens Health Specialists Sioux Falls is an health care organization with primary practice located at 1417 S. Cliff Ave. Ste. 401, Sioux Falls SD 57105-1064. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-8920, or through Flicek, David via phone (605) 322-8000.

Contact Information

Primary practice address
1417 S. Cliff Ave. Ste. 401 Sioux Falls SD 57105-1064
Phone: (605) 322-8920
Fax: (605) 322-8919
Website:
Map and Directions
Authorized official contact:
Name: Flicek, David
Phone: (605) 322-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1336111962
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Womens Health Specialists Sioux Falls
Authorized official Flicek, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2006
Last updated Oct 24th, 2018 - 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 1336111962 NPPES
South Dakota Other 040115001 PRIMEWEST
South Dakota Other 370624200 PRIMEWEST
South Dakota Other 0007994 PRIMEWEST
South Dakota MEDICAID 0548537 PRIMEWEST
South Dakota Other 33583 PRIMEWEST
South Dakota Other 04235 PRIMEWEST
South Dakota Other 48D59OB PRIMEWEST
South Dakota Other 48D59OB PRIMEWEST
South Dakota Other 33582 PRIMEWEST
South Dakota Other 70000 PRIMEWEST
South Dakota MEDICAID 194898900 PRIMEWEST
South Dakota Other 33581 PRIMEWEST
South Dakota Other 77716 PRIMEWEST
South Dakota Other 9177835 PRIMEWEST

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