AVERA MEDICAL GROUP INTENSIVISTS SIOUX FALLS – NPI #1972837979
Internal Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Health Care Provider Taxonomy Code for Internal Medicine

AVERA MEDICAL GROUP INTENSIVISTS SIOUX FALLS is a provider located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1972837979 to AVERA MEDICAL GROUP INTENSIVISTS SIOUX FALLS on September 23, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA MEDICAL GROUP INTENSIVISTS SIOUX FALLS” is a dba name, the actual legal business name for this organization is AVERA MCKENNAN. The primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

The NPI profile was previously updated about 8 years ago on Oct 24, 2018. 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 INTENSIVISTS SIOUX FALLS below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1972837979
Enumeration Date

(more than 16 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 INTENSIVISTS SIOUX FALLS
Primary location
1325 S. CLIFF AVE.
SIOUX FALLS, SD 57105-1007
Phone: (605) 322-2460 Fax: (605) 322-2470
Mailing address
2400 S. MINNESOTA AVE.
STE. 100
SIOUX FALLS, SD 57105-3762
Phone: (605) 322-7510 Fax: (605) 322-6475
Organization Subpart
No
Authorized Official
DAVID FLICEK
CEO/PRESIDENT
Phone: (605) 322-8000
Updated
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
207RC0200X
- Internal Medicine / Critical Care Medicine (Primary)

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.