<Unavail>

LBN: Avera Mckennan
<Unavail> is an health care organization with primary practice located at 2100 S. Marion Rd. , Sioux Falls SD 57106-3646. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Avera Mckennan can be contacted via phone (605) 322-1010, or through Norton, Julie N via phone (605) 322-6375.

Contact Information

Primary practice address
2100 S. Marion Rd. Sioux Falls SD 57106-3646
Phone: (605) 322-1010
Fax: (605) 322-1011
Website:
Map and Directions
Authorized official contact:
Name: Norton, Julie N
Phone: (605) 322-6375

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1851468532
LBN Legal business name Avera Mckennan
DBA Doing business as <Unavail>
Authorized official Norton, Julie N
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Oct 20th, 2016 - about 10 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 1851468532 NPPES
Iowa MEDICAID 0716829

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