Organization · Type 2 NPI

Avera McKennan

Skilled Nursing Facility · Sioux Falls, SD

NPI number 1508854340 Active

Practice location

4513 S Prince Of Peace Pl
Sioux Falls, SD 57103-5830

Call (605) 322-5600 Map

Mailing address

4500 S Prince Of Peace Pl
Sioux Falls, SD 57103-5830

Other practice locations

4500 S Prince Of Peace Pl, Sioux Falls, SD 57103-5830 · (605) 322-5600

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	10722 (SD)
Skilled Nursing Facility Primary	314000000X	10722 (SD)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

5 other providers at this address

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NPI record

NPI: 1508854340
Entity type: Organization (Type 2)
Issued: Oct 6, 2005
Last updated: Oct 4, 2023
Status: Active

Other names

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Avera Prince of Peace · doing business as
Avera Prince of Peace · doing business as

Authorized official

Ronald Joseph Place, MD
President/ceo
(605) 322-7903

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508854340

Avera McKennan's National Provider Identifier is 1508854340, issued on Oct 6, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Sioux Falls, SD. The record was last updated on Oct 4, 2023.