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Contact Information

AVERA MCKENNAN
1325 S CLIFF AVE
SIOUX FALLS, SD57105-1007
 Phone: 605-322-2000
 Fax: 605-322-2036
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Air Transport

3416A0800X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for AVERA MCKENNAN

NPI # 1558427187
LBN Legal business name AVERA MCKENNAN
Authorized official RONALD PLACE - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/28/2006
Last updated 10/04/2023 - About 3 years ago
Identifiers
SD License # 0018
IA Medicaid 0911149
SD Medicaid 9020350
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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