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Organization

AVERA MCKENNAN

Active
Other names
Avera Nephrology, Avera Nephrology Sioux Falls
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD J PLACE (CEO/PRESIDENT)
(605) 322-7903
Entity
Organization

Contact information

Practice address
810 E 23RD ST STE 403, SIOUX FALLS, SD 57105-2135
(605) 322-5800
(605) 322-5801
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0008493
BCBS
SD
01
031013001
PRIMEWEST
MN
05
0550814
IA
01
118T5NO
BCBS
MN
05
12903
ND
05
210830500
MN
01
370624200
DEPT OF LABOR
SD
01
81741
HEALTHPARTNERS
SD
01
9191250
DAKOTACARE
SD
Enumeration date
02/23/2006
Last updated
03/12/2026
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