# AVERA MCKENNAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avera Gregory Hospital Swing Bed
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417215740
- **Authorized official:** MR. RONALD JOSEPH PLACE MD (PRESIDENT/CEO)
- **Authorized official phone:** (605) 322-7903

## Contact information

- **Practice address:** 400 PARK AVE, GREGORY, SD 57533-1302
- **Practice address phone:** (605) 835-9394
- **Practice address fax:** (605) 835-9422
- **Mailing address:** 400 PARK AVE, PO BOX 408, GREGORY, SD 57533-1302
- **Mailing address phone:** (605) 835-9394
- **Mailing address fax:** (605) 835-9422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 43-Z338 | SD | Yes |

## Other

- **Enumeration date:** 04/24/2012
- **Last updated:** 10/04/2023