Organization
AVERA MCKENNAN
Active
Other names
Milbank Area Hospital/Avera Health- Swingbed
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD JOSEPH PLACE MD (PRESIDENT/CEO)
(605) 322-7903
Entity
Organization
Contact information
Practice address
301 FLYNN DR, MILBANK, SD 57252-1502
(605) 432-4538
(605) 322-5412
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
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
48451
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159210
—
SD
01
—
8B029
SD BLUE CROSS SWBD PROV#
SD
Enumeration date
08/22/2006
Last updated
10/04/2023
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