Avera Medical Group Internal Medicine Sioux Falls
LBN: Avera Mckennan
Avera Medical Group Internal Medicine Sioux Falls is an health care organization with primary practice located at 6100 S Louise Ave Ste 1120 , Sioux Falls SD 57108-6021. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Avera Mckennan can be contacted via phone (605) 504-1700, or through Flicek, David via phone (605) 322-8000.
Contact Information
Primary practice address
6100 S Louise Ave Ste 1120
Sioux Falls SD 57108-6021
Phone: (605) 504-1700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1770558405 |
|---|---|
| LBN Legal business name | Avera Mckennan |
| DBA Doing business as | Avera Medical Group Internal Medicine Sioux Falls |
| Authorized official | Flicek, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Nov 1st, 2019 - about 7 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 | 1770558405 | NPPES |
| Minnesota | Other | 92411422901 | PRIMEWEST |
| Minnesota | MEDICAID | 068417100 | PRIMEWEST |
| Minnesota | Other | 30B74GU | PRIMEWEST |
| Minnesota | MEDICAID | 0532341 | PRIMEWEST |
| Minnesota | Other | 59767 | PRIMEWEST |
| Minnesota | Other | 30B74GU | PRIMEWEST |
| Minnesota | Other | 370624200 | PRIMEWEST |
| Minnesota | Other | 0006020 | PRIMEWEST |
Popular Providers
-
Emergency Medical Physicians P C
4500 W 69Th St , Sioux Falls SD 57108-8148 -
Sanford Health Network
1305 W 18Th St , Sioux Falls SD 57105 -
Sanford Clinic
1210 W 18Th St Suite G01, Sioux Falls SD 57104-4647 -
Sanford Clinic
1321 W 22Nd St , Sioux Falls SD 57105-1502 -
Sanford Clinic
1309 W 17Th St Ste 101, Sioux Falls SD 57104-8805 -
Avera Mckennan
300 N Dakota Ave. Ste. 117, Sioux Falls SD 57104-6020 -
University Physician
1310 W 22Nd St , Sioux Falls SD 57105-1501 -
Avera Mckennan
1325 S Cliff Ave Ste Ed, Sioux Falls SD 57105-1007