Avera Mckennan is a Psychiatry in Sioux Falls, South Dakota. Avera Mckennan practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Avera Mckennan is 1013980598. 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 | 1013980598 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| 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 | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 561456 | IA | -- | |
| 50M77UN | MN | BLUE PLUS/CC SYSTEMS | |
| 81G87AV | MN | BCBS MN | |
| 22591 | IA | BCBS IA | |
| 86467 | SD | HEALTHPARTNERS | |
| 40470 | SD | BCBS | |
| 40121002 | MN | PRIMEWEST | |
| 996458400 | MN | -- | |
| 81G97AV | MN | BLUE PLUS/CCS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Avera Mckennan by the Centers for Medicare & Medicaid Services?
The Avera Mckennan has been assigned the NPI (National Provider Identifier) 1013980598 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier 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 the Avera Mckennan's area of specialization and corresponding taxonomy classification?
The Avera Mckennan's specialty field is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1013980598 to Avera Mckennan?
The Avera Mckennan received its 1013980598 assignment from the Centers for Medicare & Medicaid Services on 2006-02-07.
When was the information related to Avera Mckennan most recently updated or refreshed?
The details pertaining to the Avera Mckennan, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-10-24.
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