Organization
AVERA MCKENNAN
Active
Other names
Avera McKennan Hospital and University Health Center - ground ambulanc
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD JOSEPH PLACE MD (PRESIDENT/CEO)
(605) 322-7903
Entity
Organization
Contact information
Practice address
1325 S CLIFF AVE, ATTN: P.F.S., SIOUX FALLS, SD 57105-1007
(605) 322-2000
(605) 322-2203
Mailing address
PO BOX 5045, ATTN: P.F.S. PROV ENROLLMENT, SIOUX FALLS, SD 57117-5045
(605) 322-6400
(605) 322-2203
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0018
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9011500
—
SD
Enumeration date
08/07/2007
Last updated
10/04/2023
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