AVERA PRINCE OF PEACE OUTPATIENT THERAPY – NPI #1467786640
Clinic/Center
AVERA PRINCE OF PEACE OUTPATIENT THERAPY is an AHC clinic located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1467786640 to AVERA PRINCE OF PEACE OUTPATIENT THERAPY on September 22, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA PRINCE OF PEACE OUTPATIENT THERAPY” is a dba name, the actual legal business name for this organization is AVERA MCKENNAN. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty
The NPI profile was previously updated about 5 years ago on Jul 01, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERA PRINCE OF PEACE OUTPATIENT THERAPY below.
NPI Profile for
AVERA MCKENNAN
(more than 16 years ago)
SIOUX FALLS, SD 57103-5830 Phone: (605) 322-5618 Fax:
PO BOX 5045, PROV ENROLLMENT
SIOUX FALLS, SD 57105-1016 Phone: (605) 322-6400 Fax: (605) 322-6499
PRESIDENT
Phone: (605) 322-7915
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for AVERA PRINCE OF PEACE OUTPATIENT THERAPY
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | DAKOTACARE | SD | 9290262 |
| MEDICAID | IA | 1467786640 | |
| MEDICAID | MN | 1467786640 | |
| MEDICAID | NE | 10025846600 (PT ) | |
| MEDICAID | NE | 10025846700 (OT GRP) |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM1300X - Clinic/Center / Multi-Specialty (Primary) |
SD | 10563 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.