Organization
AVERA MCKENNAN
Active
Other names
Avera Medical Group Radiology Sioux Falls, Avera Interventional Radiology, Avera Radioloy
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD PLACE (PRESIDENT/CEO)
(605) 322-8000
Entity
Organization
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-1600
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE0909
RAILROAD MEDICARE
SD
01
—
CG9797
RAILROAD MEDICARE
SD
Enumeration date
12/28/2011
Last updated
05/06/2026
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