Avera Medical Group Family Health Center
LBN: Avera Mckennan
Avera Medical Group Family Health Center is an health care organization with primary practice located at 2100 S. Marion Rd. , Sioux Falls SD 57106-3646. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Avera Mckennan can be contacted via phone (605) 322-1010, or through Norton, Julie N via phone (605) 322-6375.
Contact Information
Primary practice address
2100 S. Marion Rd.
Sioux Falls SD 57106-3646
Phone: (605) 322-1010
Fax: (605) 322-1011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1851468532 |
|---|---|
| LBN Legal business name | Avera Mckennan |
| DBA Doing business as | Avera Medical Group Family Health Center |
| Authorized official | Norton, Julie N |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Oct 20th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851468532 | NPPES |
| Iowa | MEDICAID | 0716829 |
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