Avera Mckennan Hospital - Emergency
LBN: Avera Mckennan
Avera Mckennan Hospital - Emergency is an health care organization with primary practice located at 1325 S Cliff Ave Ste Ed, Sioux Falls SD 57105-1007. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty.
Avera Mckennan can be contacted via phone (605) 322-2000, or through Place, Ronald Joseph via phone (605) 322-7903.
Contact Information
Primary practice address
1325 S Cliff Ave Ste Ed
Sioux Falls SD 57105-1007
Phone: (605) 322-2000
Fax: (605) 322-6499
Website:
Authorized official contact:
Name: Place, Ronald Joseph Doctor of Medicine (MD)
Phone: (605) 322-7903
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 10563 | South Dakota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 10563 | South Dakota |
Profile Details
| NPI number | 1699985267 |
|---|---|
| LBN Legal business name | Avera Mckennan |
| DBA Doing business as | Avera Mckennan Hospital - Emergency |
| Authorized official | Place, Ronald Joseph Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Oct 4th, 2023 - about 3 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 | 1699985267 | NPPES |
| South Dakota | MEDICAID | 5800080 | |
| South Dakota | MEDICAID | 0900993 |
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