Avera Mckennan in Sioux Falls - Internal Medicine
Avera Mckennan - NPI 1770558405
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 1770558405. The last update date is 2019-11-01.
Avera Mckennan's current location address is 6100 S Louise Ave Ste 1120, Sioux Falls, South Dakota. You can contact this provider via phone number 6055041700. The mailing address for Avera Mckennan is 6100 S Louise Ave Ste 1120, Sioux Falls, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera Mckennan |
|---|---|
| Address | 6100 S Louise Ave Ste 1120, Sioux Falls, South Dakota |
| Phone Number | 6055041700 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/PRESID |
|---|---|
| Authorized Official Name | Flicek David |
| Telephone Number | 6053228000 |
NPI Number Detail
| NPI Number | 1770558405 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2019-11-01 |
Provider Mailing Address Detail
| Address | 6100 S Louise Ave Ste 1120 |
|---|---|
| City | Sioux Falls |
| State | South Dakota (SD) |
| Post Code | 571086021 |
| Phone Number | 6055041700 |
| Fax Number |
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 |
|---|---|---|---|
| 92411422901 | MN | PRIMEWEST | |
| 68417100 | MN | -- | |
| 30B74GU | MN | BLUE PLUS | |
| 532341 | IA | -- | |
| 59767 | SD | HEALTHPARTNERS | |
| 30B74GU | MN | BLUE CROSS | |
| 370624200 | SD | DEPT OF LABOR | |
| 6020 | SD | BCBS |
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) 1770558405. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Avera Mckennan?
The Avera Mckennan is situated at 6100 S Louise Ave Ste 1120, in the city of Sioux Falls, state of SD, with the zip code 571086021.
What is the Avera Mckennan's specialty and taxonomy code?
The Avera Mckennan's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Avera Mckennan receive the assignment of its 1770558405 from the Centers for Medicare & Medicaid Services?
The Avera Mckennan was issued its 1770558405 by the Centers for Medicare & Medicaid Services on 2006-02-17.
As of what date were the Avera Mckennan's details last updated?
The information pertaining to the Avera Mckennan, including its address, specialty, and other details, was most recently updated on 2019-11-01.
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