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AVERA MCKENNAN NPI 1972837979


NPI Information

NPI: 1972837979
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA MEDICAL GROUP INTENSIVISTS SIOUX FALLS

Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
1325 S. CLIFF AVE.
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-2460
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AVERA MCKENNAN is a critical care medicine internal medicine in Sioux Falls, SD. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. AVERA MCKENNAN NPI is 1972837979. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group Intensivists Sioux Falls.

The provider's business location address is:

1325 S. CLIFF AVE.
SIOUX FALLS, SD
ZIP 57105-007
Phone: (605) 322-2460
Fax: (605) 322-2470

The provider's authorized official is David Flicek .
The authorized official title is Ceo/president and has the following contact phone number (605) 322-8000.

The enumeration date for this NPI number is 9/23/2009 and was last updated on 10/24/2018.


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
1207RC0200XInternal MedicineCritical Care MedicineYes

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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