AVERA PRINCE OF PEACE OUTPATIENT THERAPY
NPI 1467786640
Clinic/Center - Multi-Specialty in Sioux Falls, SD
NPI Status: Active since September 22, 2009
Contact Information
4513 S PRINCE OF PEACE PL STE 1
SIOUX FALLS, SD
ZIP 57103
Phone: (605) 322-5618
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 43D0041496
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About AVERA PRINCE OF PEACE OUTPATIENT THERAPY
This page provides the complete NPI Profile along with additional information for Avera Prince Of Peace Outpatient Therapy, a provider established in Sioux Falls, South Dakota operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1467786640 assigned on September 2009. The practitioner's primary taxonomy code is 261QM1300X with license number 10563 (SD). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Avera Prince Of Peace Outpatient Therapy. The authorized official of this NPI record is David Flicek (President)
- NPI
- 1467786640
- Provider Legal Name
- AVERA MCKENNAN
- Other Organization Name
- AVERA PRINCE OF PEACE OUTPATIENT THERAPY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4513 S PRINCE OF PEACE PL STE 1 SIOUX FALLS, SD 57103
- Location Phone
- (605) 322-5618
- Mailing Address
- 800 E 21ST ST PO BOX 5045, PROV ENROLLMENT SIOUX FALLS, SD 57105
- Mailing Phone
- (605) 322-6400
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-22-2009
- Last Update Date
- 07-01-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 10563
- License State
- SD
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- ConnectPlus $0 Gold - PPO
- ConnectPlus $0 Silver - PPO
- ConnectPlus $10,600 HSA Eligible HDHP - PPO
- ConnectPlus $1800 - PPO
- ConnectPlus $4500 - PPO
- ConnectPlus $6500 HSA Eligible HDHP - PPO
- ConnectPlus $7500 HSA Eligible HDHP - PPO
- ConnectPlus MyWeighForward $2000 - PPO
- ConnectPlus MyWeighForward $6000 - PPO
- ConnectPlus Standard $2000 - PPO
- ConnectPlus Standard $6000 - PPO
- ConnectPlus Standard $7500 HSA Eligible HDHP - PPO
- DirectConnect $0 Gold - HMO
- DirectConnect $0 Silver - HMO
- DirectConnect $1800 - HMO
- DirectConnect $4500 - HMO
- DirectConnect $6500 HSA Eligible HDHP - HMO
- DirectConnect $7500 HSA Eligible HDHP - HMO
- DirectConnect MyWeighForward $2000 - HMO
- DirectConnect MyWeighForward $6000 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10025846600 (PT ) | MEDICAID (05) | NE | |
| 9290262 | OTHER (01) | SD | DAKOTACARE |
| 1467786640 | MEDICAID (05) | MN | |
| 10025846700 (OT GRP) | MEDICAID (05) | NE | |
| 1467786640 | MEDICAID (05) | IA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 43D0041496
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- ALICE RONK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Avera Prince Of Peace Outpatient Therapy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for AVERA PRINCE OF PEACE OUTPATIENT THERAPY
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1467786640, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467786640, enumerated as an "organization" on September 22, 2009.
The provider is located at 4513 S PRINCE OF PEACE PL STE 1 SIOUX FALLS, SD 57103 and the phone number is (605) 322-5618.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Avera Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
