Organization
AVERA MCKENNAN
Active
Parent organization
AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTER
Other names
Avera McKennan Behavioral Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTER
Authorized official
RONALD JOSEPH PLACE MD (PRESIDENT/CEO)
(605) 322-7903
Entity
Organization
Contact information
Practice address
4400 W 69TH ST, SIOUX FALLS, SD 57108-8170
(605) 322-4000
(605) 322-4009
Mailing address
4400 W 69TH ST, SIOUX FALLS, SD 57108-8170
(605) 322-4000
(605) 322-4009
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
10563
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
475747502
—
MN
Enumeration date
04/10/2008
Last updated
10/04/2023
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