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AVERA MCKENNAN NPI 1700905650


NPI Information

NPI: 1700905650
Provider Name: AVERA MCKENNAN

Doing Business As: AMG OCCUPATIONAL MEDICINE SIOUX FALLS

Classification: Preventive Medicine - 2083X0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
4928 N CLIFF AVE
SIOUX FALLS, SD
ZIP 57104
Phone: (605) 332-5100
Get Directions

AVERA MCKENNAN is an occupational medicine preventive medicine in Sioux Falls, SD. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. AVERA MCKENNAN NPI is 1700905650. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Amg Occupational Medicine Sioux Falls.

The provider's business location address is:

4928 N CLIFF AVE
SIOUX FALLS, SD
ZIP 57104-563
Phone: (605) 332-5100
Fax: (605) 322-5101

The provider's authorized official is Julie Norton .
The authorized official title is Sr Vp Finance and has the following contact phone number (605) 322-7818.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 6/3/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083X0100XPreventive MedicineOccupational Medicine5335SOUTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15335OTHERSOUTH DAKOTASD MEDICAL LICENSE
233732OTHERIOWAIA MEDICAL LICENSE

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: 4/28/2024

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