Avera McKennan

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

10563 Issued in SD

Legal business name

AVERA MCKENNAN

Doing business as

Avera Healthworks

Practice address

4928 N Cliff Ave
Sioux Falls, SD 57104-0563

Phone

(605) 322-5100

Fax

(605) 322-5101

NPI assigned

Mar 28, 2007

Last updated

Mar 12, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julie Norton

Title

VP/Cfo

Phone

(605) 322-6375

Specialties & licenses 1

Addresses

Other names 1

• Avera Healthworks Doing business as

Tax ID family

Presentation Health Sys105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Avera McKennan

  dba Avera Gregory Dialysis Unit

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Gregory, SD
  • NPI 1255435814
  NPD tax ID
• Avera McKennan

  dba Headache Center

  • Neurology Physician
  • Sioux Falls, SD
  • NPI 1295187417
  NPD tax ID
• Avera McKennan

  dba Avera Flandreau Hospital

  • Critical Access Hospital
  • Flandreau, SD
  • NPI 1295747608
  NPD tax ID
• Avera McKennan

  dba Avera Long Term Care Pharmacy Rapid City

  • Long Term Care Pharmacy
  • Rapid City, SD
  • NPI 1306601794
  NPD tax ID
• Avera McKennan

  dba Avera 7th Avenue Pharmacy

  • Community/Retail Pharmacy
  • Sioux Falls, SD
  • NPI 1316463219
  NPD tax ID
• Avera McKennan

  dba Milbank Area Hospital/Avera Health- Swingbed

  • Medicare Defined Swing Bed Hospital Unit
  • Milbank, SD
  • NPI 1326154220
  NPD tax ID
• Avera McKennan

  dba Avera Gregory Hospital

  • Physical Therapy Clinic/Center
  • Gregory, SD
  • NPI 1326495409
  NPD tax ID
• Avera McKennan

  dba Avera Specialty Pharmacy

  • Specialty Pharmacy
  • Sioux Falls, SD
  • NPI 1346266202
  NPD tax ID
• Avera McKennan

  dba Avera McKennan Outpatient Therapy Services - Brandon

  • Physical Therapy Clinic/Center
  • Brandon, SD
  • NPI 1346494697
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group McGreevy Dawley Farm

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1346512266
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Palliative Medicine Sioux Falls

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Sioux Falls, SD
  • NPI 1356629497
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Kennebec Area

  • Family Medicine Physician
  • Kennebec, SD
  • NPI 1356788491
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1376662825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 21ST ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051016",
            "telephone_number": "605-322-8000",
            "fax_number": "605-322-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4928 N CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571040563",
            "telephone_number": "605-322-5100",
            "fax_number": "605-322-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MCKENNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "605-322-6375"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "SD",
            "license": "10563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Healthworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avera McKennan (Avera Dermatology)
• Avera McKennan (Avera Specialty Pharmacy)
• Avera McKennan (Avera Medical Group McGreevy Dawley Farm)
• Avera McKennan (Avera Medical Group Palliative Medicine Sioux Falls)
• Avera McKennan (Avera Medical Group)
• Avera McKennan (Avera Medical Group Integrative Medicine Sioux Falls)
• Avera McKennan (Avera Medical Group Pulmonary and Sleep Medicine Sioux Falls)
• Avera McKennan (Avera Endocrinology and Diabetes)
• Avera McKennan (Avera Liver Disease)
• Avera McKennan (Avera Dermatology Pharmacy)

• Occupational Medicine Clinic/Center in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Occupational Medicine Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.