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Organization

AVERA MCKENNAN

Active
Other names
Avera Neonatology Sioux Falls, Avera Medical Group Neonatology 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
1325 S. CLIFF AVE., SIOUX FALLS, SD 57105-1007
(605) 322-4425
(605) 322-4499
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0555367
IA
05
065778600
MN
01
370624200
DEPT OF LABOR
SD
01
4999723
BCBS
SD
01
61598
HEALTHPARTNERS
SD
05
6701090
SD
05
6701340
SD
05
6701500
SD
05
6701790
SD
01
7F824MA
BLUE PLUS
MN
Enumeration date
02/06/2006
Last updated
03/12/2026
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