Avera McKennan
Organization Active NPI Durable Medical Equipment & Medical Supplies · Sioux Falls, SD
NPI 1609882018 · NPPES record last updated Oct 4, 2023
Key facts
- NPI
- 1609882018
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 10563 (SD)
- Legal business name
- AVERA MCKENNAN
- Practice address
- 1325 S Cliff Ave
Sioux Falls, SD 57105-1007 - Phone
- (605) 322-8000
- Fax
- (605) 322-6499
- NPI assigned
- Jul 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Ronald Joseph Place, MD
- Title
- President/Ceo
- Phone
- (605) 322-7903
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 10563 | SD | Yes |
Addresses
Primary practice location
1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Mailing address
1325 S Cliff Ave
PO Box 5045 Attn: PT Financial Services
Sioux Falls, SD 57105-1007
Phone (605) 322-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0564443 | Medicaid | IA | |
| 9165490 | Medicaid | SD |
Other names
- Avera McKennan Hospital and University Health Center DME
Other providers in Sioux Falls, SD
- Avera McKennan
- Avera McKennan
- Avera McKennan
- Avera McKennan
- Avera McKennan
- Avera McKennan
- Avera McKennan
- Avera McKennan
- Avera McKennan
- Avera McKennan
All providers in Sioux Falls, SD · Durable Medical Equipment & Medical Supplies in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.