Avera Mckennan
Avera Mckennan is a healthcare organization registered as Clinical Medical Laboratory in Sioux Falls, SD, holding Type 2 (organization) NPI 1891718136 since 2006. The authorized official on file is David Flicek, President/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1891718136 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 1301 S CLIFF AVE, REGIONAL LAB, Sioux Falls, SD, 57105 |
| Phone | 6053227187 |
| Fax | 6053227183 |
| Enumeration date | 2006-07-26 |
| Last updated in NPPES | 2020-11-12 |
Authorized official
| Name | David Flicek |
|---|---|
| Title | President/Ceo |
| Phone | 6053227916 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | 43D0658878 | SD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4995742 | Other | SD | BLUE CROSS OF SD |
| 604999 | Other | SD | ARAZ |
| 5580610 | Medicaid | SD | — |
| 1034593 | Other | SD | PREFERRED ONE |
| 165L6AV | Other | MN | BLUE CROSS OF MINNESOTA |
| F230764 | Other | SD | MIDLANDS CHOICE |
| 0569285 | Medicaid | IA | — |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1891718136 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 1301 S CLIFF AVE, REGIONAL LAB, Sioux Falls, SD, 57105
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1194723924 | Henry Travers | Individual | Anatomic Pathology & Clinical Pathology Physician | Sioux Falls, SD |
| 1356349179 | Diane Sneed | Individual | Anatomic Pathology & Clinical Pathology Physician | Sioux Falls, SD |
| 1962400788 | Raed Sulaiman | Individual | Anatomic Pathology & Clinical Pathology Physician | Sioux Falls, SD |
| 1912973785 | Fady Jamous | Individual | Pulmonary Disease Physician | Sioux Falls, SD |
| 1700852480 | Brian Hurley | Individual | Pulmonary Disease Physician | Sioux Falls, SD |
| 1134195332 | Avera Mckennan | Organization | Physical Medicine & Rehabilitation Physician | Sioux Falls, SD |
| 1720054091 | Thomas Ripperda | Individual | Physical Medicine & Rehabilitation Physician | Sioux Falls, SD |
| 1073564019 | Birgit Heeren | Individual | Nurse Practitioner | Sioux Falls, SD |
Verify this record
Cross-check NPI 1891718136 against the authoritative CMS record: view Avera Mckennan on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Avera Mckennan?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-11-12.