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Contact Information

AVERA MCKENNAN
1001 E 21ST ST
STE. 403
SIOUX FALLS, SD57105-1033
 Phone: 605-322-1745
 Fax: 605-322-1746
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for AVERA MCKENNAN

NPI # 1548233885
LBN Legal business name AVERA MCKENNAN
Authorized official JULIE NORTON - (SENIOR VP OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2006
Last updated 03/12/2012 - About 14 years ago
Identifiers
NE Medicaid 10025121100
MN Other 543R6AV BLUE PLUS
SD Other 370624200 DEPT OF LABOR
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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