Avera Dialysis Brookings

LBN: Avera Mckennan
Avera Dialysis Brookings is an health care organization with primary practice located at 300 22Nd Ave Suite 101, Brookings SD 57006-2480. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 696-7760, or through Flicek, Daivd via phone (605) 322-7915.

Contact Information

Primary practice address
300 22Nd Ave Suite 101 Brookings SD 57006-2480
Phone: (605) 696-7760
Fax: (605) 696-7765
Website:
Map and Directions
Authorized official contact:
Name: Flicek, Daivd
Phone: (605) 322-7915

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 10563 South Dakota

Profile Details

NPI number 1891055174
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Dialysis Brookings
Authorized official Flicek, Daivd
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2012
Last updated Jul 1st, 2021 - about 4 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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