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AVERA PRINCE OF PEACE OUTPATIENT THERAPY
NPI 1467786640
Clinic/Center - Multi-Specialty in Sioux Falls, SD

Active since September 22, 2009
4513 S PRINCE OF PEACE PL STE 1, SIOUX FALLS, SD 57103(605) 322-5618 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Avera Prince Of Peace Outpatient Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA PRINCE OF PEACE OUTPATIENT THERAPY (NPI 1467786640) is a healthcare organization registered as a multi-specialty in Sioux Falls, South Dakota and active in the NPI registry since September 2009. The organization lists David Flicek, President, as its authorized official.

NPPES Registry Identity

NPI1467786640
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameAVERA MCKENNAN
Location Address4513 S PRINCE OF PEACE PL STE 1Sioux Falls, SD 57103-5830
Mailing Address800 E 21st St, Po Box 5045, Prov EnrollmentSioux Falls, SD 57105-1016 · (605) 322-6400 · Fax (605) 322-6499
Phone(605) 322-5618
Organization SubpartNo
Authorized OfficialDavid FlicekPresident · (605) 322-7915
Enumeration DateSeptember 22, 2009
Last NPPES UpdateJuly 1, 2021
NPPES CertifiedJuly 1, 2021
✔ NPI 1467786640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in SD · 10563
4513 S PRINCE OF PEACE PL STE 1, Sioux Falls, SD 57103
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Other Names 1

Doing Business AsAvera Prince Of Peace Outpatient Therapy

Other Identifiers 5

Medicaid10025846600 (PT )NE
Other9290262SD · Dakotacare
Medicaid1467786640MN
Medicaid10025846700 (OT GRP)NE
Medicaid1467786640IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA ANN TWEET
Occupational Therapist
4513 S PRINCE OF PEACE PL STE 1
SIOUX FALLS, SD 57103
Minnehaha County (605) 322-5600
MOLLY MECHLER
Physical Therapist (Geriatrics)
4513 S PRINCE OF PEACE PL STE 1
SIOUX FALLS, SD 57103
Minnehaha County (605) 322-5665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1467786640. It was assigned to this organization in the NPPES registry on September 22, 2009. The provider is doing business as Avera Prince Of Peace Outpatient Therapy.

Where is Avera Mckennan located?

Avera Mckennan is located at 4513 S Prince Of Peace Pl Ste 1, Sioux Falls, SD 57103. The listed phone number is (605) 322-5618.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does Avera Mckennan accept?

Health plans from Avera Health Plans list Avera Mckennan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.