Organization
AVERA MCKENNAN
Active
Other names
Avera McKennan Careflight
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, SIOUX FALLS, SD 57105-1007
(605) 322-2000
(605) 322-2036
Mailing address
PO BOX 5045, ATTN: P.F.S. PROV ENROLLMENT, SIOUX FALLS, SD 57117-5045
(605) 322-6428
(605) 322-6499
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
0018
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0911149
—
IA
05
—
9020350
—
SD
Enumeration date
12/28/2006
Last updated
10/04/2023
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