Avera Mckennan
Avera Mckennan is a healthcare organization registered as Clinic/Center in Miller, SD, holding Type 2 (organization) NPI 1083679625 since 2006. The authorized official on file is Ronald Place, President/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083679625 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 300 W 5TH ST, Miller, SD, 57362 |
| Phone | 6058530158 |
| Fax | 6058533885 |
| Enumeration date | 2006-04-18 |
| Last updated in NPPES | 2023-09-14 |
Authorized official
| Name | Ronald Place |
|---|---|
| Title | President/Ceo |
| Phone | 6053227903 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1083679625 Taxonomy: 261Q00000X (Clinic/Center) Address: 300 W 5TH ST, Miller, SD, 57362
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1578528907 | Pauline Bevers | Individual | Medical Physician Assistant | Miller, SD |
| 1952366395 | Stephan Schroeder | Individual | Sports Medicine (Neuromusculoskeletal Medicine) Physician | Miller, SD |
| 1710942149 | Thomas Miner | Individual | Medical Physician Assistant | Miller, SD |
| 1316902257 | Michelle Turner | Individual | Family Medicine Physician | Miller, SD |
| 1154386043 | Joel Huber | Individual | Sports Medicine (Neuromusculoskeletal Medicine) Physician | Miller, SD |
| 1164471819 | Hand County Memorial Hospital | Organization | Skilled Nursing Facility | Miller, SD |
| 1598954406 | Margaret Miller | Individual | Critical Access Hospital | Miller, SD |
| 1922277060 | Avera Mckennan | Organization | Critical Access Hospital | Miller, SD |
Verify this record
Cross-check NPI 1083679625 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
What type of organization is Avera Mckennan?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-09-14.