Organization Active NPI

Avera McKennan

Doing business as Avera Addiction Care Center

  • Substance Abuse Rehabilitation Facility
  • Sioux Falls, SD
National Provider Identifier
1154979805
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
AVERA MCKENNAN
Doing business as
Avera Addiction Care Center
Practice address
6140 S Curae Lane
Sioux Falls, SD 57108-3047
Phone
(605) 504-2222
Fax
(605) 504-2223
NPI assigned
Aug 27, 2019
Last updated
Oct 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Ronald Joseph Place, MD
Title
President/Ceo
Phone
(605) 322-7903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

6140 S Curae Lane
Sioux Falls, SD 57108-3047

Mailing address

PO Box 5045
Cbo PRV Enrlmt Palm Place
Sioux Falls, SD 57117-5045
Phone (605) 322-6404

Other practice location 1

6150 S Curae Lane
Sioux Falls, SD 57108-3047
Phone (605) 504-2222

Other names 1

  • Avera Addiction Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Presentation Health Sys105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

View all 24

Locations

6140 S Curae Ln
Sioux Falls, SD 57108
Phone (605) 504-2222

6150 S Curae Ln
Sioux Falls, SD 57108
Phone (605) 504-2222

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1154979805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5045",
            "address_2": "CBO PRV ENRLMT PALM PLACE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175045",
            "telephone_number": "605-322-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 S CURAE LANE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083047",
            "telephone_number": "605-504-2222",
            "fax_number": "605-504-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6150 S CURAE LANE",
            "address_purpose": "LOCATION",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083047",
            "country_code": "US",
            "telephone_number": "605-504-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AVERA MCKENNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "PLACE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "605-322-7903",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Addiction Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Addiction Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.