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Contact Information

AVERA MCKENNAN
1417 S. CLIFF AVE.
STE. 400A
SIOUX FALLS, SD57105-1064
 Phone: 605-322-8877
 Fax: 605-322-8941
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for AVERA MCKENNAN

NPI Number 1417929100
LBN Legal business name AVERA MCKENNAN
Authorized official JULIE NORTON - (SENIOR VP OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2006
Last updated 02/06/2012 - About 14 years ago
Identifiers
IA Medicaid 0745737
NE Medicaid 10025071600
MN Other 50F30HA BLUE PLUS
SD Other 0006113 BCBS
SD Other 9240193 DAKOTACARE
SD Other 370624200 DEPT OF LABOR
SD Other 70415 HEALTHPARTNERS
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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