Avera Mckennan in Sioux Falls - Neonatal-perinatal Medicine

Avera Mckennan - NPI 1073585949

Avera Mckennan is a Neonatal-perinatal Medicine in Sioux Falls, South Dakota. Avera Mckennan practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Avera Mckennan is 1073585949. 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 1073585949
Provider Enumeration Date 2006-02-06
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 Neonatal-perinatal Medicine
Taxonomy 2080N0001X
Definition:
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
61598 SD HEALTHPARTNERS
555367 IA --
65778600 MN --
370624200 SD DEPT OF LABOR
6701340 SD --
6701500 SD --
6701790 SD --
7F824MA MN BLUE PLUS
4999723 SD BCBS
6701090 SD --

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FAQs about Avera Mckennan

What is the unique 10-digit identifier code issued to Avera Mckennan by the Centers for Medicare & Medicaid Services?

The Avera Mckennan has been assigned the NPI (National Provider Identifier) 1073585949 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

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 specialized field of practice, and what is the corresponding taxonomy classification code?

The Avera Mckennan's area of specialization is Neonatal-perinatal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080N0001X.

On what date was the 1073585949 assigned to Avera Mckennan?

The Avera Mckennan was issued its 1073585949 on 2006-02-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

On what date did the Avera Mckennan receive the assignment of its 1073585949 from the Centers for Medicare & Medicaid Services?

The Avera Mckennan was issued its 1073585949 by the Centers for Medicare & Medicaid Services on 2006-02-06.

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