Organization
AVERA MCKENNAN
Active
Organization
AVERA MCKENNAN
Active
Other names
Avera Psychiatry Sioux Falls, Avera Medical Group University Psychiatry Associates Sioux Falls
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD J PLACE (CEO/PRESIDENT)
(605) 322-8000
Entity
Organization
Contact information
Practice address
4400 W 69TH ST STE 1500, SIOUX FALLS, SD 57108-8171
(605) 322-5700
(605) 322-5704
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040470
BCBS
SD
01
—
040121002
PRIMEWEST
MN
05
—
0561456
—
IA
01
—
22591
BCBS IA
IA
01
—
50M77UN
BLUE PLUS/CC SYSTEMS
MN
01
—
81G87AV
BCBS MN
MN
01
—
81G97AV
BLUE PLUS/CCS
MN
01
—
86467
HEALTHPARTNERS
SD
05
—
996458400
—
MN
Enumeration date
02/07/2006
Last updated
03/12/2026
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