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AVERA MCKENNAN NPI 1851468532


NPI Information

NPI: 1851468532
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA MEDICAL GROUP FAMILY HEALTH CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 43D2116885

Address:
2100 S. MARION RD.
SIOUX FALLS, SD
ZIP 57106
Phone: (605) 322-1010
Get Directions

AVERA MCKENNAN is a family medicine in Sioux Falls, SD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AVERA MCKENNAN NPI is 1851468532. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Avera Medical Group Family Health Center.

The provider's business location address is:

2100 S. MARION RD.
SIOUX FALLS, SD
ZIP 57106-646
Phone: (605) 322-1010
Fax: (605) 322-1011

The provider's authorized official is Julie N Norton .
The authorized official title is Sr Vice President Of Financre and has the following contact phone number (605) 322-6375.

The CLIA number assigned to this NPI record is 43D2116885 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 10/20/2016.


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
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11202730022MEDICARE NSC
20716829MEDICAIDIOWA

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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