Avera Mckennan in Sioux Falls - Neurological Surgery

Avera Mckennan - NPI 1093908501

Avera Mckennan is a Neurological Surgery in Sioux Falls, South Dakota. Avera Mckennan practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Avera Mckennan is 1093908501. The last update date is 2012-03-12.

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 SENIOR VP
Authorized Official Name Norton N Julie
Telephone Number 6053226375

NPI Number Detail

NPI Number 1093908501
Provider Enumeration Date 2007-08-20
Last Updated Date 2012-03-12

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 Neurological Surgery
Taxonomy 207T00000X
Licence No 4319
Definition:
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10025562500 NE --
167004 SD HEALTHPARTNERS
46L93AV MN BLUE PLUS
9251034 SD DAKOTACARE

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FAQs about Avera Mckennan

What is the unique identifier code issued to Avera Mckennan by the Centers for Medicare & Medicaid Services (CMS)?

The Avera Mckennan has been assigned the NPI (National Provider Identifier) 1093908501. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Avera Mckennan's physical address?

The Avera Mckennan is physically located at Po Box 86370, in the city of Sioux Falls, SD, with the postal code 571186370.

What is Avera Mckennan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Avera Mckennan is Neurological Surgery, and the taxonomy classification code that categorizes this area of expertise is 207T00000X.

On what date did the Avera Mckennan receive the assignment of its 1093908501 from the Centers for Medicare & Medicaid Services?

The Avera Mckennan was issued its 1093908501 by the Centers for Medicare & Medicaid Services on 2007-08-20.

As of what date were the details pertaining to Avera Mckennan last refreshed?

The information related to the Avera Mckennan, including its address, specialty, and other relevant details, was last updated on 2012-03-12.

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