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AVERA MCKENNAN NPI 1770753246


NPI Information

NPI: 1770753246
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA MCKENNAN RENAL TRANSPLANT CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1417 S CLIFF AVE
SUITE 302
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-8000
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AVERA MCKENNAN is an end-stage renal disease (esrd) treatment clinic center in Sioux Falls, SD. AVERA MCKENNAN NPI is 1770753246. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Mckennan Renal Transplant Center.

The provider's business location address is:

1417 S CLIFF AVE
SUITE 302
SIOUX FALLS, SD
ZIP 57105-062
Phone: (605) 322-8000
Fax: (605) 322-6499

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 enumeration date for this NPI number is 3/11/2008 and was last updated on 12/10/2019.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment10563SOUTH 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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