Avera Medical Group Midwest Psychiatric Medicine Sioux Falls
LBN: Avera Mckennan
Avera Medical Group Midwest Psychiatric Medicine Sioux Falls is an health care organization with primary practice located at 4400 W 69Th St Ste 500, Sioux Falls SD 57108. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty.
Avera Mckennan can be contacted via phone (605) 322-7580, or through Flicek, David via phone (605) 322-8000.
Contact Information
Primary practice address
4400 W 69Th St Ste 500
Sioux Falls SD 57108
Phone: (605) 322-7580
Fax: (605) 322-7579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
| NPI number | 1407829781 |
|---|---|
| LBN Legal business name | Avera Mckennan |
| DBA Doing business as | Avera Medical Group Midwest Psychiatric Medicine Sioux Falls |
| Authorized official | Flicek, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407829781 | NPPES |
| South Dakota | Other | 370624200 | DEPT OF LABOR |
| South Dakota | Other | 3T021SC | DEPT OF LABOR |
| South Dakota | Other | 65742 | DEPT OF LABOR |
| South Dakota | MEDICAID | 293011100 | DEPT OF LABOR |
| South Dakota | Other | 0006118 | DEPT OF LABOR |
| South Dakota | Other | 92411422904 | DEPT OF LABOR |
| South Dakota | MEDICAID | 0211607 | DEPT OF LABOR |
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