Avera Medical Group Transplant And Liver Surgery Sioux Falls

LBN: Avera Mckennan
Avera Medical Group Transplant And Liver Surgery Sioux Falls is an health care organization with primary practice located at 1315 S. Cliff Ave. Ste. 1100, Sioux Falls SD 57105-1057. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-7350, or through Flicek, David via phone (605) 322-8000.

Contact Information

Primary practice address
1315 S. Cliff Ave. Ste. 1100 Sioux Falls SD 57105-1057
Phone: (605) 322-7350
Fax: (605) 322-7351
Website:
Map and Directions
Authorized official contact:
Name: Flicek, David
Phone: (605) 322-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X

Profile Details

NPI number 1730155425
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Medical Group Transplant And Liver Surgery Sioux Falls
Authorized official Flicek, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2006
Last updated Oct 24th, 2018 - about 6 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 1730155425 NPPES
South Dakota Other 370624200 DEPT OF LABOR
South Dakota Other 50M72VA DEPT OF LABOR
South Dakota MEDICAID 0572438 DEPT OF LABOR
South Dakota Other 90287 DEPT OF LABOR
South Dakota Other 0040030 DEPT OF LABOR
South Dakota MEDICAID 073278800 DEPT OF LABOR
South Dakota Other 9202242 DEPT OF LABOR

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