Avera Medical Group Pulmonary And Sleep Medicine Sioux Falls

LBN: Avera Mckennan
Avera Medical Group Pulmonary And Sleep Medicine Sioux Falls is an health care organization with primary practice located at 1301 S. Cliff Ave. Ste. 601, Sioux Falls SD 57105-1032. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-6930, or through Flicek, David via phone (605) 322-8000.

Contact Information

Primary practice address
1301 S. Cliff Ave. Ste. 601 Sioux Falls SD 57105-1032
Phone: (605) 322-6930
Fax: (605) 322-6931
Website:
Map and Directions
Authorized official contact:
Name: Flicek, David
Phone: (605) 322-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X

Profile Details

NPI number 1386610004
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Pulmonary And Sleep Medicine Sioux Falls
Authorized official Flicek, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2006
Last updated Oct 24th, 2018 - about 7 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 1386610004 NPPES
Minnesota Other 92411422905 PRIME WEST
Minnesota MEDICAID 0555169 PRIME WEST
Minnesota Other 286T1PU PRIME WEST
Minnesota Other 9202238 PRIME WEST
Minnesota Other 84208 PRIME WEST
Minnesota MEDICAID 984617400 PRIME WEST
Minnesota Other 0040252 PRIME WEST
Minnesota Other 286T1PU PRIME WEST
Minnesota Other 370624200 PRIME WEST

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