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Organization
AVERA MCKENNAN
Active
Organization
AVERA MCKENNAN
Active
Other names
Avera McKennan Hospital and University Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD JOSEPH PLACE MD (PRESIDENT/CEO)
(605) 322-7903
Entity
Organization
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-6400
(605) 322-6499
Mailing address
PO BOX 9191, MINNEAPOLIS, MN 55480-9191
(605) 322-6400
(605) 322-6499
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
10563
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100160
—
SD
05
—
0900993
—
IA
05
—
475747500
—
MN
01
—
80016
SD BLUE CROSS
SD
01
—
CCDP00004
CHF RESEARCH PROJECT
SD
Enumeration date
07/12/2005
Last updated
09/13/2023
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