Avera Mckennan
NPI #1417215740 in Gregory, South Dakota
Provider Information
- NPI Number
- 1417215740
- Entity Type
- Organization
- Organization Name
- Avera Mckennan
- Primary Specialty
- Medicare Defined Swing Bed Unit
- Enumeration Date
- Apr 24, 2012
- Last Updated
- Oct 4, 2023
Practice Location
- Address
- 400 PARK AVE
- City
- Gregory
- State
- South Dakota
- ZIP Code
- 57533-1302
- Phone
- (605) 835-9394
Authorized Official
- Name
- MR. RONALD JOSEPH PLACE, MD
- Title
- PRESIDENT/CEO
- Phone
- (605) 322-7903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Medicare Defined Swing Bed Unit |
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