<Unavail>

LBN: Avera Mckennan
<Unavail> is an health care organization with primary practice located at 1001 E 21St St Ste. 403, Sioux Falls SD 57105-1033. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-1745, or through Norton, Julie N via phone (605) 322-6375.

Contact Information

Primary practice address
1001 E 21St St Ste. 403 Sioux Falls SD 57105-1033
Phone: (605) 322-1745
Fax: (605) 322-1746
Website:
Map and Directions
Authorized official contact:
Name: Norton, Julie N
Phone: (605) 322-6375

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X

Profile Details

NPI number 1548233885
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 8th, 2006
Last updated Mar 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548233885 NPPES
Minnesota Other 543R6AV BLUE PLUS
Minnesota MEDICAID 10025121100 BLUE PLUS
Minnesota Other 370624200 BLUE PLUS

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