# AVERA MCKENNAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avera McKennan Hospital and University Health Center - ground ambulanc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538350368
- **Authorized official:** RONALD JOSEPH PLACE MD (PRESIDENT/CEO)
- **Authorized official phone:** (605) 322-7903

## Contact information

- **Practice address:** 1325 S CLIFF AVE, ATTN: P.F.S., SIOUX FALLS, SD 57105-1007
- **Practice address phone:** (605) 322-2000
- **Practice address fax:** (605) 322-2203
- **Mailing address:** PO BOX 5045, ATTN: P.F.S. PROV ENROLLMENT, SIOUX FALLS, SD 57117-5045
- **Mailing address phone:** (605) 322-6400
- **Mailing address fax:** (605) 322-2203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0018 | SD | Yes |

## Other

- **Enumeration date:** 08/07/2007
- **Last updated:** 10/04/2023