Avera Medical Group Certified Nurse Midwifery Sioux Falls

LBN: Avera Mckennan
Avera Medical Group Certified Nurse Midwifery Sioux Falls is an health care organization with primary practice located at 1417 S. Cliff Ave. Ste. 400A, Sioux Falls SD 57105-1064. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-8877, or through Norton, Julie N. via phone (605) 322-6375.

Contact Information

Primary practice address
1417 S. Cliff Ave. Ste. 400A Sioux Falls SD 57105-1064
Phone: (605) 322-8877
Fax: (605) 322-8941
Website:
Map and Directions
Authorized official contact:
Name: Norton, Julie N.
Phone: (605) 322-6375

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1417929100
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Certified Nurse Midwifery Sioux Falls
Authorized official Norton, Julie N.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2006
Last updated Feb 6th, 2012 - about 12 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 1417929100 NPPES
Nebraska MEDICAID 10025071600
Nebraska Other 0006113
Nebraska Other 370624200
Nebraska Other 50F30HA
Nebraska MEDICAID 0745737
Nebraska Other 70415
Nebraska Other 9240193

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