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Organization
AVERA MCKENNAN
Active
Organization
AVERA MCKENNAN
Active
Other names
Avera Pediatric Specialists Clinic, Avera Medical Group Pediatric Specialists 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
1417 S. CLIFF AVE., STE. 010, SIOUX FALLS, SD 57105-1014
(605) 322-3666
(605) 322-3665
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080878
PRIMEWEST
MN
01
—
0006729
BCBS
SD
05
—
0248534
—
IA
05
—
200806800
—
MN
01
—
250R5PE
BCBS WORTHINGTON
MN
01
—
370624200
DEPT OF LABOR
SD
01
—
3D887KU
BLUE PLUS
MN
01
—
65740
HEALTHPARTNERS
SD
01
—
9169058
DAKOTACARE
SD
Enumeration date
02/27/2006
Last updated
03/19/2026
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