AVERA MCKENNAN NPI 1114246576

NPI Information

NPI: 1114246576
Provider Name: AVERA MCKENNAN

Other Name: AVERA MCKENNAN OUTPATIENT THERAPY MCGREEVY MAIN

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1200 S 7TH AVE
SUITE 2
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 782-8307
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AVERA MCKENNAN is a multi-specialty clinic center in Sioux Falls, SD. AVERA MCKENNAN NPI is 1114246576. The provider is registered as an organization entity type.
The provider Other Name Is Avera Mckennan Outpatient Therapy Mcgreevy Main.

The provider's business location address is:

1200 S 7TH AVE
SUITE 2
SIOUX FALLS, SD
ZIP 57105-900
Phone: (605) 782-8307
Fax: (605) 782-8322

The provider's authorized official is Julie N Norton .
The authorized official title is Vp/cfo and has the following contact phone number (605) 322-6375.

The enumeration date for this NPI number is 5/25/2010 and was last updated on 7/20/2010.

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	261QM1300X	Clinic/Center	Multi-Specialty	10563	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	S30016	MEDICARE PIN	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: 4/28/2024

NPI Synchronization or Removal

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