Avera Mckennan Regional Lab
LBN: Avera Mckennan
Avera Mckennan Regional Lab is an health care organization with primary practice located at 1301 S Cliff Ave Regional Lab, Sioux Falls SD 57105-1005. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty.
Avera Mckennan can be contacted via phone (605) 322-7187, or through Flicek, David via phone (605) 322-7916.
Contact Information
Primary practice address
1301 S Cliff Ave Regional Lab
Sioux Falls SD 57105-1005
Phone: (605) 322-7187
Fax: (605) 322-7183
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Clinical Medical Laboratory | 291U00000X | 43D0658878 | South Dakota |
Profile Details
| NPI number | 1891718136 |
|---|---|
| LBN Legal business name | Avera Mckennan |
| DBA Doing business as | Avera Mckennan Regional Lab |
| Authorized official | Flicek, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Nov 12th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891718136 | NPPES |
| South Dakota | Other | 4995742 | BLUE CROSS OF SD |
| South Dakota | Other | 604999 | BLUE CROSS OF SD |
| South Dakota | MEDICAID | 5580610 | BLUE CROSS OF SD |
| South Dakota | Other | 1034593 | BLUE CROSS OF SD |
| South Dakota | Other | 165L6AV | BLUE CROSS OF SD |
| South Dakota | Other | F230764 | BLUE CROSS OF SD |
| South Dakota | MEDICAID | 0569285 | BLUE CROSS OF SD |
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