Organization
AVERA MCKENNAN
Active
Other names
Avera McKennan Hospital and University Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. 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) 322-6400
(605) 322-6499
Mailing address
PO BOX 9191, MINNEAPOLIS, MN 55480-9191
(605) 322-6400
(605) 322-6499
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
10563
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100160
—
SD
05
—
0900993
—
IA
05
—
475747500
—
MN
01
—
80016
SD BLUE CROSS
SD
01
—
CCDP00004
CHF RESEARCH PROJECT
SD
Enumeration date
07/12/2005
Last updated
09/13/2023
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