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Organization
AVERA MCKENNAN
Active
Organization
AVERA MCKENNAN
Active
Other names
Avera McKennan Hospital Neonatal Intensive Care Unit
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD JOSEPH PLACE MD (PRESIDENT/CEO)
(605) 322-7903
Entity
Organization
Contact information
Practice address
1325 S CLIFF AVE, NEONATAL INTENSIVE CARE UNIT, SIOUX FALLS, SD 57105-1007
(605) 322-6400
(605) 322-6499
Mailing address
PO BOX 5045, P.F.S. PROV ENROLLMENT, SIOUX FALLS, SD 57117-5045
(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
—
0230360
—
SD
Enumeration date
05/24/2007
Last updated
10/04/2023
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