Avera Mckennan in Sioux Falls - Pulmonary Disease
Avera Mckennan - NPI 1386610004
Avera Mckennan is a Pulmonary Disease in Sioux Falls, South Dakota. Avera Mckennan practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Avera Mckennan is 1386610004. The last update date is 2018-10-24.
Avera Mckennan's current location address is 2400 S. Minnesota Ave., Sioux Falls, South Dakota. You can contact this provider via phone number 6053227510 and fax number 6053226475. The mailing address for Avera Mckennan is 2400 S. Minnesota Ave., Sioux Falls, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera Mckennan |
|---|---|
| Address | 2400 S. Minnesota Ave., 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 | 1386610004 |
|---|---|
| Provider Enumeration Date | 2006-02-23 |
| Last Updated Date | 2018-10-24 |
Provider Mailing Address Detail
| Address | 2400 S. Minnesota Ave. |
|---|---|
| City | Sioux Falls |
| State | South Dakota (SD) |
| Post Code | 571053762 |
| Phone Number | 6053227510 |
| Fax Number | 6053226475 |
Provider's Primary Taxonomy Detail
| Speciality | Pulmonary Disease |
|---|---|
| Taxonomy | 207Rp1001X |
|
Definition: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 92411422905 | MN | PRIME WEST | |
| 555169 | IA | -- | |
| 286T1PU | MN | BLUE PLUS | |
| 9202238 | SD | DAKOTACARE | |
| 84208 | SD | HEALTHPARTNERS | |
| 984617400 | MN | -- | |
| 40252 | SD | BCBS SD | |
| 286T1PU | MN | BCBS MN | |
| 370624200 | SD | DEPT OF LABOR |
Post Comment/ Review Below
What is the Avera Mckennan's unique identification number?
The Avera Mckennan has been assigned the NPI (National Provider Identifier) Number 1386610004 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Avera Mckennan's facilities are geographically located?
The facilities of Avera Mckennan are physically situated at the following location: 2400 S. Minnesota Ave., Sioux Falls, SD, 571053762.
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 Pulmonary Disease, and the taxonomy classification code that categorizes this area of expertise is 207Rp1001X.
When did the Avera Mckennan receive its 1386610004?
The Avera Mckennan was issued its 1386610004 on 2006-02-23, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Avera Mckennan most recently updated or revised?
The information pertaining to Avera Mckennan, including its address, specialty, and other relevant details, was last updated or revised on 2018-10-24.
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