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Organization
AVERA MCKENNAN
Active
Organization
AVERA MCKENNAN
Active
Other names
Avera Nephrology, Avera Nephrology Sioux Falls
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD J PLACE (CEO/PRESIDENT)
(605) 322-7903
Entity
Organization
Contact information
Practice address
810 E 23RD ST STE 403, SIOUX FALLS, SD 57105-2135
(605) 322-5800
(605) 322-5801
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008493
BCBS
SD
01
—
031013001
PRIMEWEST
MN
05
—
0550814
—
IA
01
—
118T5NO
BCBS
MN
05
—
12903
—
ND
05
—
210830500
—
MN
01
—
370624200
DEPT OF LABOR
SD
01
—
81741
HEALTHPARTNERS
SD
01
—
9191250
DAKOTACARE
SD
Enumeration date
02/23/2006
Last updated
03/12/2026
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