Organization
AVERA MCKENNAN
Active
Other names
Avera Flandreau 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
214 N PRAIRIE ST, FLANDREAU, SD 57028-1243
(605) 997-2433
(605) 997-3611
Mailing address
PO BOX 5045 ATTN PRVENROLMT PALM PLACE BLDG, SIOUX FALLS, SD 57117-5045
(605) 322-6428
(605) 322-6499
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
10540
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00B2896
—
NM
05
—
0100412
—
SD
05
—
01592
—
ND
05
—
0587261
—
IA
05
—
10025183900
—
NE
05
—
1295747608
—
MI
05
—
1295747608
—
WY
01
—
1778HFL
MN BLUE CROSS PROV#
MN
05
—
192355200
—
MN
05
—
202619
—
AZ
05
—
4103188
—
MT
05
—
5500412
—
SD
05
—
80484900
—
WI
01
—
81310
SD BLUE CROSS HOSP PROV#
SD
Enumeration date
08/13/2006
Last updated
10/04/2023
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