Organization
AVERA MCKENNAN
Active
Other names
Avera Gregory 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
110 S LOGAN AVE, GREGORY, SD 57533-1614
(605) 835-8394
Mailing address
110 S LOGAN AVE, GREGORY, SD 57533-1614
(605) 835-8394
(605) 835-9422
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282NC0060X
Critical Access Hospital
Primary
54875
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100350
—
SD
05
—
0159260
—
SD
05
—
5500350
—
SD
Enumeration date
07/02/2006
Last updated
11/17/2025
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