Avera Medical Group Liver Disease Sioux Falls
LBN: Avera Mckennan
Avera Medical Group Liver Disease Sioux Falls is an health care organization with primary practice located at 1315 S. Cliff Ave. Ste. 1200, Sioux Falls SD 57105-1057. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hepatology, which is considered as the primary health care specialty.
Avera Mckennan can be contacted via phone (605) 322-8535, or through Flicek, David via phone (605) 322-8000.
Contact Information
Primary practice address
1315 S. Cliff Ave. Ste. 1200
Sioux Falls SD 57105-1057
Phone: (605) 322-8535
Fax: (605) 322-8536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X |
Profile Details
| NPI number | 1396945267 |
|---|---|
| LBN Legal business name | Avera Mckennan |
| DBA Doing business as | Avera Medical Group Liver Disease Sioux Falls |
| Authorized official | Flicek, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 19th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396945267 | NPPES |
| South Dakota | Other | 9250205 | DAKOTACARE |
| South Dakota | Other | 164563 | DAKOTACARE |
| South Dakota | Other | 8G749AV | DAKOTACARE |
| South Dakota | Other | 8G749AV | DAKOTACARE |
| South Dakota | MEDICAID | 1396945267 | DAKOTACARE |
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