Avera Medical Group Pediatric Specialists Sioux Falls

LBN: Avera Mckennan
Avera Medical Group Pediatric Specialists Sioux Falls is an health care organization with primary practice located at 1417 S. Cliff Ave. Ste. 010, Sioux Falls SD 57105-1014. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-3666, or through Flicek, David via phone (605) 322-8000.

Contact Information

Primary practice address
1417 S. Cliff Ave. Ste. 010 Sioux Falls SD 57105-1014
Fax: (605) 322-3665
Website:
Authorized official contact:
Name: Flicek, David

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1558337899
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Pediatric Specialists Sioux Falls
Authorized official Flicek, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 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 1558337899 NPPES
Minnesota Other 000080878 PRIMEWEST
Minnesota Other 0006729 PRIMEWEST
Minnesota Other 3D887KU PRIMEWEST
Minnesota Other 370624200 PRIMEWEST
Minnesota MEDICAID 200806800 PRIMEWEST
Minnesota Other 250R5PE PRIMEWEST
Minnesota Other 3D887KU PRIMEWEST
Minnesota MEDICAID 0248534 PRIMEWEST
Minnesota Other 9169058 PRIMEWEST
Minnesota Other 65740 PRIMEWEST

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