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Organization

AVERA MCKENNAN

Active
Other names
Avera Obstetrics & Gynecology, Avera Medical Group Womens Health Specialists 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 401, SIOUX FALLS, SD 57105-1064
(605) 322-8920
(605) 322-8919
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007994
BCBS
SD
01
040115001
PRIMEWEST
SD
01
04235
BC/IA
IA
05
0548537
IA
05
194898900
MN
01
33581
BC/IA
IA
01
33582
BC/IA
IA
01
33583
BC/IA
IA
01
370624200
DEPT OF LABOR
SD
01
48D59OB
BCBS
MN
01
70000
BC/IA
IA
01
77716
HEALTHPARTNERS
SD
01
9177835
DAKOTACARE
SD
Enumeration date
02/07/2006
Last updated
03/12/2026
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