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Contact Information

AVERA MCKENNAN
1016 S CLIFF AVE
HOME HEALTH
SIOUX FALLS, SD57104-5324
 Phone: 605-322-7740
 Fax: 605-322-7777
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for AVERA MCKENNAN

NPI # 1013939826
LBN Legal business name AVERA MCKENNAN
Authorized official JULIE NORTON - (VP/CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2006
Last updated 03/12/2010 - About 16 years ago
Identifiers
SD License # 10563
IA Medicaid 0514075
SD Medicaid 0170270
SD Medicaid 9550100
SD Other 87023 BLUE CROSS OF SD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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