AVERA MCKENNAN NPI 1376662825

NPI Information

NPI: 1376662825
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA HEALTHWORKS

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 43D2022772

Address:
4928 N CLIFF AVE
SIOUX FALLS, SD
ZIP 57104
Phone: (605) 322-5100
Get Directions

AVERA MCKENNAN is an occupational medicine clinic center in Sioux Falls, SD. AVERA MCKENNAN NPI is 1376662825. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Healthworks.

The provider's business location address is:

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

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

The CLIA number assigned to this NPI record is 43D2022772 - health main. organization with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 3/12/2010.

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	261QX0100X	Clinic/Center	Occupational Medicine	10563	SOUTH DAKOTA	Yes

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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