Avera Mckennan
NPI #1255435814 in Gregory, South Dakota
Provider Information
- NPI Number
- 1255435814
- Entity Type
- Organization
- Organization Name
- Avera Mckennan
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Sep 12, 2006
- Last Updated
- Oct 4, 2023
Practice Location
- Address
- 110 S LOGAN AVE
- City
- Gregory
- State
- South Dakota
- ZIP Code
- 57533-1614
- Phone
- (605) 835-8394
Authorized Official
- Name
- RONALD JOSEPH PLACE, MD
- Title
- CEO/PRESIDENT
- Phone
- (605) 322-7903
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital - Critical Access — Critical Access |
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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