NPIMap

Organization Active NPI

Avera McKennan

Doing business as Avera McKennan Hospital and University Health Center

  • General Acute Care Hospital
  • Sioux Falls, SD
National Provider Identifier
1568460772
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
10563 Issued in SD
Legal business name
AVERA MCKENNAN
Doing business as
Avera McKennan Hospital and University Health Center
Practice address
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Phone
(605) 322-6400
Fax
(605) 322-6499
NPI assigned
Jul 12, 2005
Last updated
Sep 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 10563 SD Primary

Addresses

Primary practice location

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

Mailing address

PO Box 9191
Minneapolis, MN 55480-9191
Phone (605) 322-6400

Other identifiers 5

IdentifierTypeStateIssuer
475747500MedicaidMN
0900993MedicaidIA
0100160MedicaidSD
CCDP00004OtherSDCHF RESEARCH PROJECT
80016OtherSDSD BLUE CROSS

Other names 1

  • Avera McKennan Hospital and University Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031110000117 SD Part B Supplier - Clinic/Group Practice 0345157103 Receives reassigned benefits from 1,418 practitioners
This NPI is an additional NPI on the enrollment
O20040506000713 SD Part A Provider - Hospital 0345157103 22 other NPIs on this enrollment
O20070129000151 SD Part A Provider - Hospital 0345157103 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sioux Falls, SD

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1568460772. Details of each certification follow.

Hospital certification: CCN 430016

Legal name
AVERA MCKENNAN
Doing business as
AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 3, 2011
Beds
505
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 23, 1925 in SD
Enrollment address
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Hospital certification: CCN 43S016

Legal name
AVERA MCKENNAN
Doing business as
AVERA MCKENNAN BEHAVIORAL HEALTH SERVICES
Organization structure
CorporationNon-profit
Incorporated
May 23, 1925 in SD
Enrollment address
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Hospital Psychiatric Unit
Hospital subgroups
General

Facilities connected through Provider of Services related, parent or unit certification numbers.

View all 24

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • Avera McKennan

    dba Avera Medical Group Urogynecology Sioux Falls

    • Obstetrics & Gynecology Physician
    • Sioux Falls, SD
    • NPI 1003188269

    O20040506000713

    Same enrollment
  • Avera McKennan

    dba Avera Medical Group Rheumatology Sioux Falls

    • Rheumatology Physician
    • Sioux Falls, SD
    • NPI 1013177393

    O20040506000713

    Same enrollment
  • Avera McKennan

    dba Avera Medical Group University Psychiatry Associates Sioux Falls

    • Psychiatry Physician
    • Sioux Falls, SD
    • NPI 1013980598

    O20040506000713

    Same enrollment
  • Avera McKennan

    dba Avera Medical Group Orthopedics and Sports Medicine

    • Orthopaedic Surgery Physician
    • Sioux Falls, SD
    • NPI 1093262131

    O20040506000713

    Same enrollment
  • Avera McKennan

    dba Avera Medical Group Brain and Spine Institute

    • Neurological Surgery Physician
    • Sioux Falls, SD
    • NPI 1114113693

    O20040506000713

    Same enrollment
  • Avera McKennan

    dba Avera Medical Group Physical Medicine and Rehabilitation Sioux Falls

    • Physical Medicine & Rehabilitation Physician
    • Sioux Falls, SD
    • NPI 1134195332

    O20040506000713

    Same enrollment
  • Avera McKennan

    dba Avera McKennan Hospital and University Health Center - Diabetic Ed

    • General Acute Care Hospital
    • Sioux Falls, SD
    • NPI 1154531630

    O20040506000713

    Same enrollment
  • Avera McKennan
    • Psychiatric Hospital Unit
    • Sioux Falls, SD
    • NPI 1164445250

    O20070129000151

    Same enrollment
  • Avera McKennan
    • General Acute Care Hospital
    • Sioux Falls, SD
    • NPI 1184834764

    O20040506000713

    Same enrollment
  • Avera McKennan

    dba Avera Gastroenterology Sioux Falls

    • Gastroenterology Physician
    • Sioux Falls, SD
    • NPI 1194799882

    O20040506000713

    Same enrollment
  • Avera McKennan

    dba Avera Medical Group Womens Health Specialists Sioux Falls

    • Obstetrics & Gynecology Physician
    • Sioux Falls, SD
    • NPI 1336111962

    O20040506000713

    Same enrollment
  • Avera McKennan

    dba Avera Medical Group

    • Family Medicine Physician
    • Sioux Falls, SD
    • NPI 1376575514

    O20040506000713

    Same enrollment
View all 23

Care Compare: Hospital

Medicare Care Compare
Listed as
Avera McKennan Hospital & University Health CenterCCN 430016 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1315 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000

1600 S Highline Ave
Ste 115
Sioux Falls, SD 57110

1600 S Highline Ave
Ste 120
Sioux Falls, SD 57110
Phone (605) 504-5690

2908 E 26th St
Sioux Falls, SD 57103
Phone (605) 336-2638

6100 S Louise Ave
#1275
Sioux Falls, SD 57108
Phone (605) 504-4263

2525 Fox Run Pkwy
Ste 100
Yankton, SD 57078
Phone (605) 260-0918

Ownership & related parties

All disclosed owners & managing parties 29

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alisa L Reindl Individual Corporate DirectorBoard Member Jul 1, 2021
James Francis Dover Individual Corporate OfficerFache, President/Ceo Avera Health Oct 23, 2023
Tamera L Sturm Individual Corporate DirectorBoard Member Jul 1, 2025
Van Fishback Individual Corporate DirectorBoard Member Jul 1, 2018
Candyce C Chrystal Individual Corporate DirectorBoard Member Jul 1, 2024
Corporate DirectorBoard Member Jul 1, 2023
Harriet Yocum Individual Corporate DirectorBoard Member Jul 1, 2021
Jennifer Bunkers Individual Corporate DirectorBoard Member Jul 1, 2021
Randy Knecht Individual Corporate DirectorBoard Member Jul 1, 2018
Jawad Nazir Individual Corporate DirectorBoard Member Jul 1, 2020
Lucille F Welbig Individual Corporate DirectorBoard Member Jul 1, 2015
Joseph Patrick Costello Individual Corporate DirectorBoard Member Jul 1, 2017
Sanaa Abourezk Individual Corporate DirectorBoard Member Jul 1, 2024
Amanda Marie Schutz Individual Contracted Managing Employee Jun 15, 2018
Ryan Boschee Individual Corporate DirectorBoard Member Jul 1, 2024
Jennifer Kirby Individual Corporate DirectorBoard Member Jul 1, 2020
Ronald J. Place Individual Corporate OfficerPresident/Ceo Jun 5, 2023
Operational/Managerial Control Jun 5, 2023
Julie Lautt Individual Corporate OfficerCfo Mar 1, 2020
Mary C Curran Individual Corporate DirectorBoard Member Jul 1, 2017
Avera Health Organization, Sioux Falls, SD Corporation, Chain home office 5% Or Greater Direct Ownership Interest Jul 1, 2000
Operational/Managerial Control Jul 1, 2000
5% Or Greater Direct Ownership Interest Jun 15, 1992
Operational/Managerial Control Jun 15, 1992
Roxanne P Seifert Individual Corporate DirectorBoard Member Jul 1, 2024
Corporate DirectorBoard Member Jul 1, 2022
Cristina a Hill Jensen Individual Corporate DirectorBoard Member Jul 1, 2018
Benjamin M Solomon Individual Corporate DirectorBoard Member Jul 1, 2022
Joseph Thomas Biegler Individual Corporate DirectorBoard Member Jul 1, 2016
Thomas Lee Otten Individual W-2 Managing Employee Jan 1, 2001
Laurie Knutson Individual Corporate DirectorBoard Member Jul 1, 2017
Brenda K Kallemeyn Individual Corporate DirectorBoard Member Jul 1, 2023
Alejandro Ramirez Individual Corporate DirectorBoard Member Jul 1, 2016
Bobby Lynn Sutton Individual Corporate OfficerPresident/Ceo Avera Health Jun 18, 2018
Jeffrey Gordon Individual Corporate DirectorBoard Member Jul 1, 2023

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lakes Regional HealthcareSpirit Lake, IA, CCN 160124 Hospital Operational/Managerial Control Oct 24, 2022
Avera Heart Hospital of South DakotaSioux Falls, SD, CCN 430095 Hospital 5% Or Greater Direct Ownership Interest (33.33%) Oct 1, 2010
Avera Holy Family HospitalEstherville, IA, CCN 161351 Hospital Operational/Managerial Control Oct 6, 1994
Avera Holy Family HospitalEstherville, IA, CCN 16Z351 Hospital Operational/Managerial Control Jan 1, 2007
Lakes Regional HealthcareSpirit Lake, IA, CCN 16U124 Hospital Operational/Managerial Control Oct 24, 2022
United Living CommunityBrookings, SD, CCN 435079 Skilled nursing facility Operational/Managerial Control Nov 15, 2005
Freeman Regional Health ServicesMenno, SD, CCN 433444 Rural health clinic 5% Or Greater Direct Ownership Interest (50%) May 1, 2011
Freeman Regional Health ServicesBridgewater, SD, CCN 433443 Rural health clinic 5% Or Greater Direct Ownership Interest (50%) May 1, 2011
Freeman Regional Health ServicesMarion, SD, CCN 433445 Rural health clinic 5% Or Greater Direct Ownership Interest (50%) May 1, 2011

Facilities with the same owner 90

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 90

Practitioners & affiliated clinicians

Practitioners 172

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.

View all 172

Affiliated clinicians 1,295

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,295

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1568460772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9191",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554809191",
            "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": "1325 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051007",
            "telephone_number": "605-322-6400",
            "fax_number": "605-322-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA MCKENNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "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_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "SD",
            "license": "10563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "475747500",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0900993",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100160",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHF RESEARCH PROJECT",
            "identifier": "CCDP00004",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD BLUE CROSS",
            "identifier": "80016",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera McKennan Hospital and University Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera McKennan Hospital and University Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.