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Organization

AVERA MCKENNAN

Active
Other names
Avera McKennan Hospital and University Health Center DME
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) 322-8000
(605) 322-6499
Mailing address
1325 S CLIFF AVE, PO BOX 5045 ATTN: PT FINANCIAL SERVICES, SIOUX FALLS, SD 57105-1007
(605) 322-8000
(605) 322-6499

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
10563
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0564443
IA
05
9165490
SD
Enumeration date
07/31/2006
Last updated
10/04/2023
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