Organization
AVERA MCKENNAN
Active
Other names
Avera Lee Mabee OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE NORTON (CFO/SVP)
(605) 322-7818
Entity
Organization
Contact information
Practice address
1910 W 69TH ST, SUITE 100, SIOUX FALLS, SD 57108-5612
(605) 322-5260
(605) 322-5265
Mailing address
PO BOX 84632, SIOUX FALLS, SD 57118-4632
(605) 322-5260
(605) 322-5265
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2481
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009398
WALLMARK
—
01
—
22232
SIOUX VALLEY HEALTH PLAN
—
01
—
228834
MIDLANDS CHOICE
—
05
—
6200390
—
SD
Enumeration date
12/05/2005
Last updated
05/31/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us