# AVERA MCKENNAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AVERA MEDICAL GROUP GEORGE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790258044
- **Authorized official:** RONALD JOSEPH PLACE MD (PRESIDENT/CEO)
- **Authorized official phone:** (605) 322-7903

## Contact information

- **Practice address:** 101 N MAIN ST, GEORGE, IA 51237
- **Practice address phone:** (712) 472-5300
- **Mailing address:** PO BOX 5045, CBO PRV ENRMT PALM PLACE, SIOUX FALLS, SD 57117-5045
- **Mailing address phone:** (605) 322-6428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/09/2019
- **Last updated:** 10/13/2023