# AVERA MCKENNAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avera Medical Group Miller
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083679625
- **Authorized official:** RONALD J. PLACE MD (PRESIDENT/CEO)
- **Authorized official phone:** (605) 322-7903

## Contact information

- **Practice address:** 300 W 5TH ST, MILLER, SD 57362-1238
- **Practice address phone:** (605) 853-0158
- **Practice address fax:** (605) 853-3885
- **Mailing address:** 300 W 5TH ST, PO BOX 287, MILLER, SD 57362-1238
- **Mailing address phone:** (605) 853-0158
- **Mailing address fax:** (605) 853-3885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/18/2006
- **Last updated:** 09/14/2023