OrganizationActive
Avera Mckennan
NPI 1467786640 · Multi-Specialty Clinic/Center · Sioux Falls, SD
Provider details
- NPI number
- 1467786640
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Flicek, President(605) 322-7915
- License
- 10563 (SD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4513 S Prince of Peace Pl Ste 1
Sioux Falls, SD 57103-5830
Phone: (605) 322-5618
Street-level locationGet directions
Mailing address
800 E 21st St
Sioux Falls, SD 57105-1016
Other names (DBA / former)
- Doing business as
- Avera Prince of Peace Outpatient Therapy
- Doing business as
- Avera Prince of Peace Outpatient Therapy
Registry dates
- Enumerated
- 2009-09-22
- Last updated
- 2021-07-01
- Certified
- 2021-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.