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AVERA MCKENNAN NPI 1013350891


NPI Information

NPI: 1013350891
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA MEDICAL GROUP

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
4500 W 69TH ST
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 322-9777
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AVERA MCKENNAN is an emergency medicine in Sioux Falls, SD. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. AVERA MCKENNAN NPI is 1013350891. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group.

The provider's business location address is:

4500 W 69TH ST
SIOUX FALLS, SD
ZIP 57108-148
Phone: (605) 322-9777

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 4/11/2013 and was last updated on 1/12/2023.


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
1207P00000XEmergency 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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