AVERA MCKENNAN NPI 1538350368

NPI Information

NPI: 1538350368
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTER - GROUND AMBULANC

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
1325 S CLIFF AVE
ATTN: P.F.S.
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-2000
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AVERA MCKENNAN is a land transport ambulance in Sioux Falls, SD. AVERA MCKENNAN NPI is 1538350368. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Mckennan Hospital And University Health Center - Ground Ambulanc.

The provider's business location address is:

1325 S CLIFF AVE
ATTN: P.F.S.
SIOUX FALLS, SD
ZIP 57105-007
Phone: (605) 322-2000
Fax: (605) 322-2203

The provider's authorized official is David Flicek .
The authorized official title is President/ceo and has the following contact phone number (605) 322-7916.

The enumeration date for this NPI number is 8/7/2007 and was last updated on 1/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	0018	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9011500	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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