NPI 1205428331
Avera McKennan
Practice location
- Address
- 132 N Dakota Ave, Sioux Falls, SD 57104-6419
- Phone
- (605) 275-1000
- Fax
- (605) 275-1007
- Mailing address
- PO Box 5045 Attn Pfs Prov Enrlmt Palm Place Bldg, Sioux Falls, SD 57117-5045
Authorised official
- Name
- Ronald Joseph Place
- Title
- President/Ceo
- Phone
- (605) 322-7903
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Adult Mental Health Clinic/Center
Registry record
- NPI
- 1205428331
- Entity type
- Organization
- NPI issued
- 10 Feb 2021
- Record last updated
- 4 Oct 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.