Organization
AVERA MCKENNAN
Active
Other names
Avera Maternal Fetal Medicine Sioux Falls, Avera Medical Group Maternal Fetal Medicine 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
1417 S. CLIFF AVE., STE. 100, SIOUX FALLS, SD 57105-1063
(605) 322-8937
(605) 322-8938
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0573360
—
IA
05
—
10025040700
—
NE
01
—
361R1WA
BLUE PLUS
MN
01
—
361ROPE
BCBS
MN
01
—
370624200
DEPT OF LABOR
SD
05
—
482413000
—
MN
01
—
4994376
BCBS
SD
01
—
9216740
DAKOTACARE
SD
01
—
924114229808
PRIMEWEST
SD
01
—
95736
HEALTHPARTNERS
SD
Enumeration date
02/07/2006
Last updated
03/12/2026
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