Avera McKennan

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

46761 Issued in SD

Legal business name

AVERA MCKENNAN

Doing business as

Avera Prince of Peace Assisted Living

Practice address

4504 S Prince of Peace PL
Sioux Falls, SD 57103-5865

Phone

(605) 322-5600

NPI assigned

Dec 4, 2008

Last updated

Sep 14, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronald J. Place, MD

Title

President/Ceo

Phone

(605) 322-7903

Specialties & licenses 1

Addresses

Other names 1

• Avera Prince of Peace Assisted Living Doing business as

Tax ID family

Presentation Health Sys105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Avera McKennan

  dba Avera Medical Group Addiction Medicine

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Sioux Falls, SD
  • NPI 1013668698
  NPD tax ID
• Avera McKennan

  dba Avera Dialysis Mitchell

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mitchell, SD
  • NPI 1023413093
  NPD tax ID
• Avera McKennan

  dba AveraNow

  • Physician Assistant
  • Sioux Falls, SD
  • NPI 1023480951
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group McGreevy 69th & Minnesota Pediatrics

  • Pediatrics Physician
  • Sioux Falls, SD
  • NPI 1033405436
  NPD tax ID
• Avera McKennan

  dba Avera Interventional Radiology

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Brookings

  • Clinical Medical Laboratory
  • Brookings, SD
  • NPI 1063782373
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Health Care Clinic Sioux Falls

  • Internal Medicine Physician
  • Sioux Falls, SD
  • NPI 1083894067
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group Milbank

  • Family Medicine Physician
  • Milbank, SD
  • NPI 1114594868
  NPD tax ID
• Avera McKennan

  dba Avera Children's

  • Pediatric Hematology & Oncology Physician
  • Sioux Falls, SD
  • NPI 1144488537
  NPD tax ID
• Avera McKennan

  dba Avera Medical Group 69th and Cliff

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1144635863
  NPD tax ID
• Avera McKennan

  dba Avera McKennan Hospital and University Health Center - Diabetic Ed

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1154531630
  NPD tax ID
• Avera McKennan

  dba Avera Addiction Care Center

  • Substance Abuse Rehabilitation Facility
  • Sioux Falls, SD
  • NPI 1154979805
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1053556068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 S PRINCE OF PEACE PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571035865",
            "telephone_number": "605-322-6400",
            "fax_number": "605-322-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 S PRINCE OF PEACE PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571035865",
            "telephone_number": "605-322-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MCKENNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "PLACE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "605-322-7903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "46761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Prince of Peace Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Prince of Peace Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avera McKennan
• Avera McKennan (Avera Medical Group University Psychiatry Associates Sioux Falls)
• Avera McKennan (AveraNow)
• Avera McKennan (Avera Medical Group Oncology and Hematology Sioux Falls)
• Avera McKennan (Avera Medical Group McGreevy 69th & Minnesota Pediatrics)
• Avera McKennan (Avera Interventional Radiology)
• Avera McKennan (Avera Neonatology Sioux Falls)
• Avera McKennan (Avera Medical Group Health Care Clinic Sioux Falls)
• Avera McKennan (Avera Medical Group Hospitalists Sioux Falls)
• Avera McKennan (Avera Medical Group Orthopedics and Sports Medicine)

• Assisted Living Facility in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Assisted Living Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.