Avera Mckennan
Avera Mckennan is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mitchell, SD, holding Type 2 (organization) NPI 1023413093 since 2014. The authorized official on file is Ronald Place, President/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023413093 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 1900 GRASSLAND DR, STE 102, Mitchell, SD, 57301 |
| Phone | 6059956730 |
| Enumeration date | 2014-11-03 |
| Last updated in NPPES | 2023-09-13 |
Authorized official
| Name | Ronald Place |
|---|---|
| Title | President/Ceo |
| Phone | 6053227903 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Primary | 10563 | SD |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1023413093 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 1900 GRASSLAND DR, STE 102, Mitchell, SD, 57301
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1699731901 | Andrew Reynolds | Individual | Surgery Physician | Mitchell, SD |
| 1306943576 | Xenofon Papadopoulos | Individual | Urology Physician | Mitchell, SD |
| 1114144375 | Aaron Baas | Individual | Family Medicine Physician | Mitchell, SD |
| 1134326861 | Avera Queen of Peace | Organization | Surgery Physician | Mitchell, SD |
| 1861639197 | Avera Queen of Peace | Organization | Pediatrics Physician | Mitchell, SD |
| 1801193453 | Avera Queen of Peace | Organization | Radiology Clinic/Center | Mitchell, SD |
| 1649577297 | Avera Queen of Peace | Organization | Clinical Medical Laboratory | Mitchell, SD |
| 1629361720 | Avera Queen of Peace | Organization | Physician Assistant | Mitchell, SD |
Verify this record
Cross-check NPI 1023413093 against the authoritative CMS record: view Avera Mckennan on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Avera Mckennan?
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2023-09-13.