Avera Doctors Plaza Imaging Center
LBN: Avera Mckennan
Avera Doctors Plaza Imaging Center is an health care organization with primary practice located at 1001 E 21St St Ste. 403, Sioux Falls SD 57105-1033. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as the primary health care specialty.
Avera Mckennan can be contacted via phone (605) 322-1745, or through Norton, Julie N via phone (605) 322-6375.
Contact Information
Primary practice address
1001 E 21St St Ste. 403
Sioux Falls SD 57105-1033
Phone: (605) 322-1745
Fax: (605) 322-1746
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist | 247100000X |
Profile Details
| NPI number | 1548233885 |
|---|---|
| LBN Legal business name | Avera Mckennan |
| DBA Doing business as | Avera Doctors Plaza Imaging Center |
| Authorized official | Norton, Julie N |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Mar 12th, 2012 - about 13 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 | 1548233885 | NPPES |
| Minnesota | Other | 543R6AV | BLUE PLUS |
| Minnesota | MEDICAID | 10025121100 | BLUE PLUS |
| Minnesota | Other | 370624200 | BLUE PLUS |
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