Avera Lee Mabee Ob/Gyn

LBN: Avera Mckennan
Avera Lee Mabee Ob/Gyn is an health care organization with primary practice located at 1910 W 69Th St Suite 100, Sioux Falls SD 57108-5612. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-5260, or through Norton, Julie via phone (605) 322-7818.

Contact Information

Primary practice address
1910 W 69Th St Suite 100 Sioux Falls SD 57108-5612
Phone: (605) 322-5260
Fax: (605) 322-5265
Website:
Map and Directions
Authorized official contact:
Name: Norton, Julie
Phone: (605) 322-7818

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2481 South Dakota

Profile Details

NPI number 1629052451
LBN Legal business name Avera Mckennan
DBA Doing business as Avera Lee Mabee Ob/Gyn
Authorized official Norton, Julie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2005
Last updated May 31st, 2017 - about 9 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 1629052451 NPPES
Other 22232 SIOUX VALLEY HEALTH PLAN
Other 228834 SIOUX VALLEY HEALTH PLAN
MEDICAID 6200390 SIOUX VALLEY HEALTH PLAN
Other 0009398 SIOUX VALLEY HEALTH PLAN

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