<Unavail>

LBN: Avera Mckennan
<Unavail> is an health care organization with primary practice located at 1000 E. 23Rd St. Ste. 200, Sioux Falls SD 57105-2122. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-3035, or through Flicek, David via phone (605) 322-8000.

Contact Information

Primary practice address
1000 E. 23Rd St. Ste. 200 Sioux Falls SD 57105-2122
Phone: (605) 322-3035
Fax: (605) 322-3036
Website:
Map and Directions
Authorized official contact:
Name: Flicek, David
Phone: (605) 322-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1538135447
LBN Legal business name Avera Mckennan
DBA Doing business as <Unavail>
Authorized official Flicek, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2006
Last updated Jan 18th, 2021 - about 5 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 1538135447 NPPES
South Dakota Other 0007442 BCBS
South Dakota MEDICAID 0573931 BCBS
South Dakota Other 71664 BCBS
South Dakota MEDICAID 306918400 BCBS
South Dakota Other 68B91LE BCBS
South Dakota Other 9174731 BCBS
South Dakota Other 68B91LE BCBS
South Dakota Other 370624200 BCBS
South Dakota Other 92411422911 BCBS

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