NPI 1023413093

Avera McKennan

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Mitchell, SD

Practice location

Address: 1900 Grassland Dr STE 102, Mitchell, SD 57301-6205
Phone: (605) 995-6730
Mailing address: PO Box 5045 Attn: P.F.S. Prov Enrllmt, Sioux Falls, SD 57117-5045

Authorised official

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

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X Licence 10563 (SD)

Other Clinic/Center providers in South Dakota →

Registry record

NPI: 1023413093
Entity type: Organization
NPI issued: 3 Nov 2014
Record last updated: 13 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.