<Unavail>
LBN: Avera Mckennan
<Unavail> is an health care organization with primary practice located at 1417 S. Cliff Ave. Ste. 400A, Sioux Falls SD 57105-1064. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as the primary health care specialty.
Avera Mckennan can be contacted via phone (605) 322-8877, or through Norton, Julie N. via phone (605) 322-6375.
Contact Information
Primary practice address
1417 S. Cliff Ave. Ste. 400A
Sioux Falls SD 57105-1064
Phone: (605) 322-8877
Fax: (605) 322-8941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X |
Profile Details
| NPI number | 1417929100 |
|---|---|
| LBN Legal business name | Avera Mckennan |
| DBA Doing business as | <Unavail> |
| Authorized official | Norton, Julie N. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Feb 6th, 2012 - about 14 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 | 1417929100 | NPPES |
| Nebraska | MEDICAID | 10025071600 | |
| Nebraska | Other | 0006113 | |
| Nebraska | Other | 370624200 | |
| Nebraska | Other | 50F30HA | |
| Nebraska | MEDICAID | 0745737 | |
| Nebraska | Other | 70415 | |
| Nebraska | Other | 9240193 |
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