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AVERA MCKENNAN NPI 1699009944


NPI Information

NPI: 1699009944
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA MCKENNAN BEHAVIORAL HEALTH CLINIC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2412 S CLIFF AVE
SUITE 200
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-4079
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AVERA MCKENNAN is a mental health (including community mental health center) clinic center in Sioux Falls, SD. AVERA MCKENNAN NPI is 1699009944. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Mckennan Behavioral Health Clinic.

The provider's business location address is:

2412 S CLIFF AVE
SUITE 200
SIOUX FALLS, SD
ZIP 57105-031
Phone: (605) 322-4079
Fax: (605) 322-4080

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 9/18/2009 and was last updated on 9/18/2009.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)10563SOUTH DAKOTAYes

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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