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Organization
AVERA MCKENNAN
Active
Organization
AVERA MCKENNAN
Active
Other names
Avera Neonatology Sioux Falls, Avera Medical Group Neonatology Sioux Falls
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD J PLACE (CEO/PRESIDENT)
(605) 322-8000
Entity
Organization
Contact information
Practice address
1325 S. CLIFF AVE., SIOUX FALLS, SD 57105-1007
(605) 322-4425
(605) 322-4499
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0555367
—
IA
05
—
065778600
—
MN
01
—
370624200
DEPT OF LABOR
SD
01
—
4999723
BCBS
SD
01
—
61598
HEALTHPARTNERS
SD
05
—
6701090
—
SD
05
—
6701340
—
SD
05
—
6701500
—
SD
05
—
6701790
—
SD
01
—
7F824MA
BLUE PLUS
MN
Enumeration date
02/06/2006
Last updated
03/12/2026
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