Organization
AVERA MCKENNAN
Active
Organization
AVERA MCKENNAN
Active
Other names
Avera Dialysis Brookings
Organization subpart
No
Provider details
NPI number
Authorized official
DAIVD FLICEK (PRESIDENT/CEO)
(605) 322-7915
Entity
Organization
Contact information
Practice address
300 22ND AVE, SUITE 101, BROOKINGS, SD 57006-2480
(605) 696-7760
(605) 696-7765
Mailing address
PO BOX 5045, ATTN: P.F.S PROV ENROLLMENT, SIOUX FALLS, SD 57117-5045
(605) 322-6428
(605) 322-6499
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
10563
SD
Other
Enumeration date
05/21/2012
Last updated
07/01/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up