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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