AVERA MEDICAL GROUP FAMILY HEALTH CENTER – NPI #1851468532
Family Medicine

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 MEDICAL GROUP FAMILY HEALTH CENTER is a provider located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1851468532 to AVERA MEDICAL GROUP FAMILY HEALTH CENTER on November 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA MEDICAL GROUP FAMILY HEALTH CENTER” is a dba name, the actual legal business name for this organization is AVERA MCKENNAN. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 10 years ago on Oct 20, 2016. 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 MEDICAL GROUP FAMILY HEALTH CENTER below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1851468532
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVERA MCKENNAN
Doing Business As (dba): AVERA MEDICAL GROUP FAMILY HEALTH CENTER
Primary location
2100 S. MARION RD.
SIOUX FALLS, SD 57106-3646
Phone: (605) 322-1010 Fax: (605) 322-1011
Mailing address
PO BOX 86430
SIOUX FALLS, SD 57118-6430
Phone: (605) 322-4900 Fax: (605) 322-4910
Organization Subpart
No
Authorized Official
JULIE NORTON
SR VICE PRESIDENT OF FINANCRE
Phone: (605) 322-6375
Updated
Identifiers

Identifiers for AVERA MEDICAL GROUP FAMILY HEALTH CENTER

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.

DescriptionIssuerStateIdentifier
MEDICAIDIA0716829
Taxonomy Code(s)

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
207Q00000X
- Family Medicine (Primary)
207R00000X
- Internal Medicine

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.