Organization
AVERA MCKENNAN
Active
Other names
Avera Pediatric Specialists Clinic, Avera Medical Group Pediatric 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. 010, SIOUX FALLS, SD 57105-1014
(605) 322-3666
(605) 322-3665
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080878
PRIMEWEST
MN
01
—
0006729
BCBS
SD
05
—
0248534
—
IA
05
—
200806800
—
MN
01
—
250R5PE
BCBS WORTHINGTON
MN
01
—
370624200
DEPT OF LABOR
SD
01
—
3D887KU
BLUE PLUS
MN
01
—
65740
HEALTHPARTNERS
SD
01
—
9169058
DAKOTACARE
SD
Enumeration date
02/27/2006
Last updated
03/19/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us