AVERA MCKENNAN


Address: 1417 S Cliff Ave, Suite 302, Sioux Falls, SD 57105-1062
Phone: 6053228000

AVERA MCKENNAN (NPI# 1770753246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770753246
Entity Type Organization
Organization Name AVERA MCKENNAN
Other Organization Name AVERA MCKENNAN RENAL TRANSPLANT CENTER
Practice Address 1417 S Cliff Ave
Suite 302
Sioux Falls
SD 57105-1062
Practice Telephone 6053228000
Practice Fax Number 6053226499
Mailing Telephone 6053227350
Mailing Fax Number 6053227351
Enumeration Date 2008-03-11
Last Update Date 2019-12-10
Authorized Official Name JULIE NORTON (VP/CFO)
Authorized Official Telephone 6053226375
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
10563 SD Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Avera McKennan Renal Transplant Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154979805 Avera Mckennan Substance Abuse Rehabilitation Facility 6140 S Curae Lane, Sioux Falls, SD 57108-3047 2019-08-27
1205311628 Avera Mckennan Pharmacy 6100 S Louise Ave Ste 1100, Sioux Falls, SD 57108-6021 2018-10-02
1316463219 Avera Mckennan Pharmacy 1200 S. 7th Avenue, Suite 101, Sioux Falls, SD 57105 2017-08-22
1851848444 Avera Mckennan Durable Medical Equipment & Medical Supplies 2100 S Marion Road, Ste 125, Sioux Falls, SD 57106-3645 2016-09-01
1295187417 Avera Mckennan Psychiatry & Neurology 6709 S. Minnesota Ave., Ste. 103, Sioux Falls, SD 57108-2593 2016-07-12
1669871000 Avera Mckennan Durable Medical Equipment & Medical Supplies 3820 N Potsdam Ave Ste 2, Sioux Falls, SD 57104-7057 2014-08-21
1922413806 Avera Mckennan Clinic/Center 400 2nd Ave, Brookings, SD 57006 2014-06-30
1629499132 Avera Mckennan Occupational Therapist 1601 W 44th Pl, Sioux Falls, SD 57105-6376 2013-12-31
1700146396 Avera Mckennan Clinic/Center 1035 South Highline Pl, Ste #4, Sioux Falls, SD 57110 2012-05-17
1467711739 Avera Mckennan Pharmacy 1301 S Cliff Ave Ste 225, Sioux Falls, SD 57105-1068 2012-05-08

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations AVERA MCKENNAN 1325 S Cliff Ave, Sioux Falls, SD 57105-1007
Iowa Business Entities AVERA MCKENNAN 1325 S. Cliff St., Sioux Falls, SD 57105
System for Award Management (SAM) Entities AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER 1325 S Cliff Ave, Sioux Falls, SD 57105-1007

Office Location

Street Address 1417 S CLIFF AVE
SUITE 302
City SIOUX FALLS
State SD
Zip Code 57105-1062

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619972783 Christopher Michael Hurley Internal Medicine 1417 S Cliff Ave, Suite 300, Sioux Falls, SD 57105-1022 2005-06-16
1538533427 Christina Jean Pekoske Physician Assistant 1417 S Cliff Ave, Suite 101, Sioux Falls, SD 57105-1022 2015-11-16
1386045862 Tabitha Marie Ammann Nurse Practitioner 1417 S Cliff Ave, Suite #101a, Sioux Falls, SD 57105-1022 2014-09-15
1144635988 Katelin Marie Soodsma Nurse Practitioner 1417 S Cliff Ave, Suite 101a, Sioux Falls, SD 57105-1063 2014-06-30
1568700631 Kali Swift Genetic Counselor, MS 1417 S Cliff Ave, Suite 100, Sioux Falls, SD 57105-1022 2013-01-24
1376716647 Annette Lee Siewert Obstetrics & Gynecology 1417 S Cliff Ave, Ste. 401, Sioux Falls, SD 57105-1022 2008-04-08
1619176328 Amber Ray Saloum Obstetrics & Gynecology 1417 S Cliff Ave, Suite 401, Sioux Falls, SD 57105-1064 2007-07-12
1760691794 Cristina Alison Hill Jensen Internal Medicine 1417 S Cliff Ave, Ste 300, Sioux Falls, SD 57105-1062 2007-05-22
1588871859 Jason Lewis Picconi Medical Genetics 1417 S Cliff Ave, Plaza 1, Suite 100, Sioux Falls, SD 57105-1022 2007-05-17
1639240732 Leslie N. Heddleston Obstetrics & Gynecology 1417 S Cliff Ave, Ste 100, Sioux Falls, SD 57105-1063 2006-11-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871117549 Ashlesha Ravindra Bagwe Student in an Organized Health Care Education/Training Program Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 2020-05-29
1306494489 Kelsey Elaine Kruse Counselor 3101 West 41st, Sioux Falls, SD 57105 2019-08-30
1902388341 Sarah Tacke Nurse Practitioner 1301 West 18th Street, Sioux Falls, SD 57105 2018-09-02
1235624727 Mahum Shahid Student in an Organized Health Care Education/Training Program 1400 W. 22nd St, Sioux Falls, SD 57105 2018-06-27
1942790126 Smitha Narayana Gowda Student in an Organized Health Care Education/Training Program 1400 22nd Street, Sioux Falls, SD 57105 2018-05-14
1326538554 Mali Elizabeth Teller Speech-Language Pathologist 2501 W. 26th Street, Sioux Falls, SD 57105 2018-05-14
1871081505 Abdelmohaymin Abdalla Abufatima Abdalla Student in an Organized Health Care Education/Training Program Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 2018-04-27
1710474697 Moataz Ellithi Student in an Organized Health Care Education/Training Program 1400 W. 22nd St., Sioux Falls, SD 57105 2018-04-17
1366948663 Holly Ahlers Registered Nurse 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 2018-04-04
1558864124 Darcy Lee Jensen Counselor 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 2018-03-09
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033178660 Total Renal Care Inc Clinic/Center 2326 W 69th St, Sioux Falls, SD 57108-5600 2006-03-22
1881110484 Sanford Medical Center Clinic/Center 1321 W 22nd St, Sioux Falls, SD 57105-1502 2017-08-16
1710316252 Avera Mckennan Clinic/Center 1315 S Cliff Ave, Ste 4000, Sioux Falls, SD 57105-1058 2013-11-05
1912921438 Sanford Medical Center Clinic/Center 1305 W 18th St, Sioux Falls, SD 57105-0401 2006-07-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437502614 Total Renal Care Inc Clinic/Center 3313 6th Ave Se, Aberdeen, SD 57401-5504 2016-07-22
1922318666 Dialysis Management Group LLC Clinic/Center Hcr 49, Porcupine, SD 57772-0000 2010-10-15
1255415246 Monument Health Rapid City Hospital, Inc. Clinic/Center 132 Yankee St, Spearfish, SD 57783-2948 2006-10-25
1184711061 Total Renal Care Clinic/Center 400 Park, Gregory, SD 57533 2006-10-10
1710087713 Black Hills Dialysis, LLC Clinic/Center 100 Dialysis Drive, Pine Ridge, SD 57770-3013 2006-09-22
1356301519 Total Renal Care Inc Clinic/Center 1 Soldier Creek Rd, Rosebud, SD 57570-0610 2006-03-23
1477512093 Total Renal Care Inc Clinic/Center 819 E Spruce St, Ste 100, Mitchell, SD 57301-4800 2006-03-22
1487621116 Monument Health Rapid City Hospital, Inc. Clinic/Center 640 Flormann St Ste 401, Rapid City, SD 57701-4679 2006-03-01
1952841629 Avera Mckennan Clinic/Center 301 Flynn Dr, Ste 4, Milbank, SD 57252-1508 2017-03-01
1235673948 Fresenius Medical Care Dakota Dunes, LLC Clinic/Center 357 W Tower Rd, Dakota Dunes, SD 57049-5018 2016-12-14
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Competitor

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City SIOUX FALLS
Zip Code 57105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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