Outpatient Physical Therapy - O.I.

LBN: Avera Mckennan
Outpatient Physical Therapy - O.I. is an health care organization with primary practice located at 800 E 21St St , Sioux Falls SD 57105-1016. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, 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
800 E 21St St Sioux Falls SD 57105-1016
Fax: (605) 322-6499
Website:
Authorized official contact:
Name: Place, Ronald Joseph Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 10563 South Dakota

Profile Details

NPI number 1619187192
LBN Legal business name Avera Mckennan
DBA Doing business as Outpatient Physical Therapy - O.I.
Authorized official Place, Ronald Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 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 1619187192 NPPES
South Dakota MEDICAID 5550060

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