Avera Mckennan
Pediatric Neonatal-Perinatal Medicine
Avera Mckennan is a Sioux Falls, South Dakota based Pediatric center with medical specialization in
Pediatric Neonatal-Perinatal Medicine. Avera Mckennan is also known as
Avera Medical Group Neonatology Sioux Falls.
It is located at
1325 S. Cliff Ave., Sioux Falls, South Dakota - 57105-1007. They can be contacted on phone at
605-322-4425 and fax number 605-322-4499.
NPI number (Unique professional ID) for Avera Mckennan is
1073585949 which was assigned by NPPES on 06 Feb, 2006 and it was last updated on 24 Oct, 2018.
Avera Mckennan is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Avera Mckennan basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Avera Mckennan |
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| Other Name : | Avera Medical Group Neonatology Sioux Falls |
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Business Address:
Avera Mckennan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1325 S. Cliff Ave.
Sioux Falls, SD, 57105-1007
United States |
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| Phone Number : | 605-322-4425 |
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| Fax Number : | 605-322-4499 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1073585949 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 06 Feb, 2006 |
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| Last Updated On : | 24 Oct, 2018 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | David Flicek |
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| Official Title or Position : | CEO/PRESIDENT |
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| Phone Number : | 605-322-8000 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Avera Mckennan are as mentioned. Primary taxonomy code for Avera Mckennan is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Avera Mckennan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 370624200 | Other | SD | DEPT OF LABOR |
| 6701340 | MEDICAID | SD | |
| 6701500 | MEDICAID | SD | |
| 7F824MA | Other | MN | BLUE PLUS |
| 61598 | Other | SD | HEALTHPARTNERS |
| 6701090 | MEDICAID | SD | |
| 0555367 | MEDICAID | IA | |
| 4999723 | Other | SD | BCBS |
| =========45 | MEDICAID | NE | |
| 065778600 | MEDICAID | MN | |
| =========7 | Other | SD | DAKOTACARE |
| 6701790 | MEDICAID | SD | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 86370
Sioux Falls, SD, 57118-6370
United States |
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| Phone Number : | 605-322-7510 |
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| Fax Number : | 605-322-6475 |
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Business Location:
Patients can refer following map for directions to
Avera Mckennan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.