Organization
AVERA MCKENNAN
Active
Other names
Avera Internal Medicine, Avera Medical Group Internal Medicine 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
6100 S LOUISE AVE STE 1120, SIOUX FALLS, SD 57108-6021
(605) 504-1700
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006020
BCBS
SD
05
—
0532341
—
IA
05
—
068417100
—
MN
01
—
30B74GU
BLUE PLUS
MN
01
—
370624200
DEPT OF LABOR
SD
01
—
59767
HEALTHPARTNERS
SD
01
—
92411422901
PRIMEWEST
MN
Enumeration date
02/17/2006
Last updated
03/12/2026
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