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Organization

AVERA MCKENNAN

Active
Other names
Avera Dells Area Hospital
Organization subpart
No

Provider details

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

Contact information

Practice address
909 NORTH IOWA AVE, DELL RAPIDS, SD 57022-1231
(605) 428-5431
(605) 428-3906
Mailing address
PO BOX 5045, CBO PROVENRLMT PALM PLACE, SIOUX FALLS, SD 57117-5045
(605) 322-6428
(605) 322-6499

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
50754
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040666
SD BLUE CROSS CRNA GROUP
SD
05
0100450
SD
05
0584227
IA
05
102355100
MN
01
1026470
PREFERRED ONE
SD
01
3F59HDE
MN BLUECROSS BS
MN
01
43-0082
DAKOTACARE
SD
01
543140
ARAZ
SD
05
5500450
SD
Enumeration date
07/02/2006
Last updated
10/04/2023
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