NPI

Avera Mckennan

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2006-07-02
Last updated
2025-11-17

Specialties

Licenses

License SD
54875

Location

Practice location
110 S Logan Ave
City
Gregory SD
Postal code
57533-1614
Phone
(605) 835-8394

Organization contact

Name
RONALD PLACE
Title
President/CEO
Phone
6053227903

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Gregory, SD. 54 records in the public file.

Removal request

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