| Avera Medical Group University Psychiatry Associates Sioux Falls | |
|
4400 W 69th St Ste 1500 Sioux Falls SD 57108-8171 | |
| (605) 322-5700 | |
| (605) 322-5704 |
| Full Name | Avera Medical Group University Psychiatry Associates Sioux Falls |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4400 W 69th St Ste 1500, Sioux Falls, South Dakota |
| Authorized Official Name and Position | David Flicek (CEO/PRESIDENT) |
| Authorized Official Contact | 6053228000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Medical Group University Psychiatry Associates Sioux Falls Po Box 86370 Sioux Falls SD 57118-6370 Ph: (605) 322-7510 | Avera Medical Group University Psychiatry Associates Sioux Falls 4400 W 69th St Ste 1500 Sioux Falls SD 57108-8171 Ph: (605) 322-5700 |
| NPI Number | 1013980598 |
|---|---|
| Provider Enumeration Date | 02/07/2006 |
| Last Update Date | 10/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013980598 | NPI | - | NPPES |
| 0561456 | Medicaid | IA | |
| 50M77UN | Other | MN | BLUE PLUS/CC SYSTEMS |
| 81G87AV | Other | MN | BCBS MN |
| 22591 | Other | IA | BCBS IA |
| 86467 | Other | SD | HEALTHPARTNERS |
| 0040470 | Other | SD | BCBS |
| 040121002 | Other | MN | PRIMEWEST |
| 996458400 | Medicaid | MN | |
| 81G97AV | Other | MN | BLUE PLUS/CCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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