Organization
AVERA MCKENNAN
Active
Other names
Avera Medical Group Certified Nurse Midwifery Sioux Falls
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE N. NORTON (SENIOR VP OF FINANCE)
(605) 322-6375
Entity
Organization
Contact information
Practice address
1417 S. CLIFF AVE., STE. 400A, SIOUX FALLS, SD 57105-1064
(605) 322-8877
(605) 322-8941
Mailing address
2400 S. MINNESOTA AVE., STE. 100, SIOUX FALLS, SD 57105-3762
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006113
BCBS
SD
05
—
0745737
—
IA
05
—
10025071600
—
NE
01
—
370624200
DEPT OF LABOR
SD
01
—
50F30HA
BLUE PLUS
MN
01
—
70415
HEALTHPARTNERS
SD
01
—
9240193
DAKOTACARE
SD
Enumeration date
02/06/2006
Last updated
02/06/2012
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