Avera Mckennan Hospital - Emergency

LBN: Avera Mckennan
Avera Mckennan Hospital - Emergency is an health care organization with primary practice located at 1325 S Cliff Ave Ste Ed, Sioux Falls SD 57105-1007. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-2000, or through Place, Ronald Joseph via phone (605) 322-7903.

Contact Information

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

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 10563 South Dakota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10563 South Dakota

Profile Details

NPI number 1699985267
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Mckennan Hospital - Emergency
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 last year

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 1699985267 NPPES
South Dakota MEDICAID 5800080
South Dakota MEDICAID 0900993

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