AVERA MCKENNAN NPI 1457648149

NPI Information

  • NPI: 1457648149
  • Provider Name: AVERA MCKENNAN
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: AVERA MEDICAL GROUP MCGREEVY WEST BENSON ROAD
  • CLIA Number: 43D2031493
  • Address: 4011 W BENSON RD
    SIOUX FALLS, SD
    ZIP 57107
  • Phone: (605) 322-1500

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NPI Details

AVERA MCKENNAN is a family medicine in Sioux Falls, SD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AVERA MCKENNAN NPI is 1457648149. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Avera Medical Group Mcgreevy West Benson Road.

The provider's business location address is:

4011 W BENSON RD
SIOUX FALLS, SD
ZIP 57107-104
Phone: (605) 322-1500
Fax: (605) 322-1510

The provider's authorized official is Julie N Norton .
The authorized official title is Senior Vice President Of Finance and has the following contact phone number (605) 322-6375.

The CLIA number assigned to this NPI record is 43D2031493 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/1/2011 and was last updated on 5/16/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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