Organization
AVERA MCKENNAN
Active
Other names
Avera McKennan Home Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD JOSEPH PLACE MD (PRESIDENT/CEO)
(605) 322-7903
Entity
Organization
Contact information
Practice address
4101 W MEMORY CIR STE 110, SIOUX FALLS, SD 57107-6504
(605) 322-8322
(605) 322-8317
Mailing address
4101 W MEMORY CIR STE 110, SIOUX FALLS, SD 57107-6504
(605) 322-8322
(605) 322-8317
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
1001663
SD
332B00000X
Durable Medical Equipment & Medical Supplies
100-1663
SD
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
100-1663
SD
333600000X
Pharmacy
1001663
SD
3336H0001X
Home Infusion Therapy Pharmacy
100-1663
SD
3336S0011X
Specialty Pharmacy
100-1663
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350516200
—
MN
05
—
4304971
—
IA
05
—
8504010
—
SD
05
—
9166500
—
SD
Enumeration date
01/24/2006
Last updated
02/16/2026
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