Avera Mckennan in Sioux Falls - Internal Medicine
Avera Mckennan - NPI 1083894067
Avera Mckennan is a Internal Medicine in Sioux Falls, South Dakota. Avera Mckennan practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Avera Mckennan is 1083894067. The last update date is 2018-10-24.
Avera Mckennan's current location address is Po Box 86370, Sioux Falls, South Dakota. You can contact this provider via phone number 6053227510 and fax number 6053226475. The mailing address for Avera Mckennan is Po Box 86370, Sioux Falls, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera Mckennan |
|---|---|
| Address | Po Box 86370, Sioux Falls, South Dakota |
| Phone Number | 6053227510 |
| Fax Number | 6053226475 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/PRESID |
|---|---|
| Authorized Official Name | Flicek David |
| Telephone Number | 6053228000 |
NPI Number Detail
| NPI Number | 1083894067 |
|---|---|
| Provider Enumeration Date | 2007-11-07 |
| Last Updated Date | 2018-10-24 |
Provider Mailing Address Detail
| Address | Po Box 86370 |
|---|---|
| City | Sioux Falls |
| State | South Dakota (SD) |
| Post Code | 571186370 |
| Phone Number | 6053227510 |
| Fax Number | 6053226475 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30B74GU | SD | BLUE PLUS | |
| 57105F001 | SD | TRICARE | |
| 12262 | ND | -- | |
| 6020 | SD | BLUE CROSS OF SOUTH DAKOT | |
| 532341 | IA | -- | |
| 30B74GU | MN | BLUE CROSS | |
| 59767 | SD | HEALTHPARTNERS | |
| 68417100 | MN | -- | |
| 9251873 | SD | DAKOTACARE |
Post Comment/ Review Below
What is the unique identification code assigned to Avera Mckennan by the Centers for Medicare & Medicaid Services?
The Avera Mckennan has been issued the NPI (National Provider Identifier) 1083894067. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Avera Mckennan is physically located?
The Avera Mckennan is situated at the following address: Po Box 86370, Sioux Falls, SD 571186370.
What is Avera Mckennan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Avera Mckennan is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
When was the Avera Mckennan's 1083894067 issued?
The Avera Mckennan's 1083894067 was issued on 2007-11-07.
As of what date was the information regarding Avera Mckennan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Avera Mckennan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-10-24.