Avera Mckennan
Pediatrics
Avera Mckennan is a Sioux Falls, South Dakota based Pediatric center with medical specialization in
General Pediatrics. Avera Mckennan is doing business as
Avera Medical Group Pediatric Specialists Sioux Falls.
It is located at
1417 S. Cliff Ave., Ste. 010, Sioux Falls, South Dakota - 57105-1014. They can be contacted on phone at
605-322-3666 and fax number 605-322-3665.
NPI number (Unique professional ID) for Avera Mckennan is
1558337899 which was assigned by NPPES on 27 Feb, 2006 and it was last updated on 24 Oct, 2018.
Avera Mckennan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Avera Mckennan basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Avera Mckennan |
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| Other Name : | Avera Medical Group Pediatric Specialists 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 : | 1417 S. Cliff Ave., Ste. 010
Sioux Falls, SD, 57105-1014
United States |
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| Phone Number : | 605-322-3666 |
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| Fax Number : | 605-322-3665 |
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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 : | 1558337899 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 27 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
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | 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 |
|---|
| 200806800 | MEDICAID | MN | |
| 65740 | Other | SD | HEALTHPARTNERS |
| 9169058 | Other | SD | DAKOTACARE |
| 000080878 | Other | MN | PRIMEWEST |
| 250R5PE | Other | MN | BCBS WORTHINGTON |
| 0006729 | Other | SD | BCBS |
| 3D887KU | Other | MN | BLUE PLUS |
| 3D887KU | Other | MN | BCBS |
| 370624200 | Other | SD | DEPT OF LABOR |
| 0248534 | MEDICAID | IA | |
| =========39 | MEDICAID | NE | |
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.