Avera McKennan
Organization Active NPI Children's Substance Abuse Rehabilitation Facility · Sioux Falls, SD
NPI 1902559271 · NPPES record last updated Jan 27, 2022
Key facts
- NPI
- 1902559271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Children's Substance Abuse Rehabilitation Facility 3245S0500X
- Legal business name
- AVERA MCKENNAN
- Practice address
- 4400 W 69TH St
Sioux Falls, SD 57108-8170 - Phone
- (605) 504-3522
- NPI assigned
- Jan 27, 2022
- Organization subpart
- No
Authorized official
- Name
- David William Flicek
- Title
- President/Ceo
- Phone
- (605) 322-7915
Corporate family (same tax ID) 20
National Provider Directory
- Tax ID family
- Avera McKennan Hosp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | Yes |
Addresses
Primary practice location
4400 W 69TH St
Sioux Falls, SD 57108-8170
Mailing address
PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-6408
Other names
- Avera Adolescent Addiction Center
Other providers in Sioux Falls, SD
- Avera McKennan
- Avera McKennan
- Avera McKennan
- Avera McKennan
- Avera McKennan
- Avera McKennan
- Avera McKennan
- Avera McKennan
- Avera McKennan
- Avera McKennan
All providers in Sioux Falls, SD · Children's Substance Abuse Rehabilitation Facility in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.