Avera Mckennan Hospital Crna

LBN: Avera Mckennan
Avera Mckennan Hospital Crna is an health care organization with primary practice located at 1325 S Cliff Ave , Sioux Falls SD 57105-1007. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-6400, or through Place, Ronald Joseph via phone (605) 322-7903.

Contact Information

Primary practice address
1325 S Cliff Ave Sioux Falls SD 57105-1007
Phone: (605) 322-6400
Fax: (605) 322-6499
Website:
Map and Directions
Authorized official contact:
Name: Place, Ronald Joseph Doctor of Medicine (MD)
Phone: (605) 322-7903

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 10563 South Dakota

Profile Details

NPI number 1568662872
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Mckennan Hospital Crna
Authorized official Place, Ronald Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2007
Last updated Oct 4th, 2023 - about 2 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 1568662872 NPPES
South Dakota MEDICAID 0100160
South Dakota MEDICAID 0965731

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