# AVERA MCKENNAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avera Dells Area Hospital Swingbed
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710089172
- **Authorized official:** RONALD JOSEPH PLACE MD (PRESIDENT/CEO)
- **Authorized official phone:** (605) 322-7903

## Contact information

- **Practice address:** 909 NORTH IOWA AVE, DELL RAPIDS, SD 57022-1231
- **Practice address phone:** (605) 428-5431
- **Practice address fax:** (605) 428-3906
- **Mailing address:** PO BOX 5045 ATTN PRVENROLMT PALM PLACE BLDG, SIOUX FALLS, SD 57117-5045
- **Mailing address phone:** (605) 322-6428
- **Mailing address fax:** (605) 322-6499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 50754 | SD | Yes |

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 10/04/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0159800 | — | SD |
| 01 | — | 8B027 | SD BLUE CROSS SWBED PROV\# | SD |