Organization
AVERA MCKENNAN
Active
Other names
AVERA MEDICAL GROUP ROCK RAPIDS
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD J. PLACE MD (PRESIDENT/CEO)
(605) 322-7903
Entity
Organization
Contact information
Practice address
1100 S 10TH AVE, STE 100, ROCK RAPIDS, IA 51246-2020
(712) 472-5300
Mailing address
PO BOX 5045, CBO PRV ENRLMT PALM PLACE, SIOUX FALLS, SD 57117-5045
(605) 322-6428
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
09/14/2023
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