Avera Mckennan is a Dermatology in Sioux Falls, South Dakota. Avera Mckennan practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Avera Mckennan is 1346216074. The last update date is 2020-07-31.
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 | 1346216074 |
|---|---|
| Provider Enumeration Date | 2006-02-23 |
| Last Updated Date | 2020-07-31 |
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 | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 115182700 | MN | -- | |
| 370624200 | SD | DEPT OF LABOR | |
| 396S9MI | MN | BLUE PLUS | |
| 9202239 | SD | DAKOTACARE | |
| 40122003 | MN | PRIMEWEST | |
| 83986 | SD | HEALTHPARTNERS | |
| 554733 | IA | -- | |
| 40219 | SD | BCBS | |
| 396S9MI | MN | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Avera Mckennan by the Centers for Medicare & Medicaid Services?
The Avera Mckennan has been issued the NPI (National Provider Identifier) 1346216074 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Avera Mckennan is located?
The Avera Mckennan is situated at the following address: Po Box 86370, Sioux Falls, SD, 571186370.
What is Avera Mckennan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Avera Mckennan's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.
When did Avera Mckennan receive its 1346216074 assignment?
The Avera Mckennan was assigned its 1346216074 on 2006-02-23, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Avera Mckennan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Avera Mckennan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-07-31.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY