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AVERA MCKENNAN NPI 1568460772

NPI Profile

NPI: 1568460772
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTER

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1325 S CLIFF AVE
SIOUX FALLS, SD
ZIP 57105
Get Directions

Phone: (605) 322-6400

AVERA MCKENNAN is a general acute care hospital in Sioux Falls, SD. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. AVERA MCKENNAN NPI is 1568460772. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Mckennan Hospital And University Health Center.

The provider's business location address is:

1325 S CLIFF AVE
SIOUX FALLS, SD
ZIP 57105-007
Phone: (605) 322-6400
Fax: (605) 322-6499

The provider's authorized official is Julie Norton .
The authorized official title is Vice Presdent, Cfo and has the following contact phone number (605) 322-6375.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 3/31/2011.

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
1282N00000XGeneral Acute Care Hospital10563SOUTH DAKOTAYes

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
180016OTHERSOUTH DAKOTASD BLUE CROSS
2CCDP00004OTHERSOUTH DAKOTACHF RESEARCH PROJECT
3S30016MEDICARE PINSOUTH DAKOTA
4475747500MEDICAIDMINNESOTA
5430065887MEDICARE PINSOUTH DAKOTA
6CE0909MEDICARE PINSOUTH DAKOTA
7CH3740MEDICARE PINSOUTH DAKOTA
80900993MEDICAIDIOWA
90100160MEDICAIDSOUTH DAKOTA
10=========00MEDICAIDNEBRASKA
11430016MEDICARE OSCAR/CERTIFICATIONSOUTH 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: 7/9/2020

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