Avera Mckennan
Avera Mckennan is a healthcare organization registered as Home Infusion Agency in Sioux Falls, SD, holding Type 2 (organization) NPI 1164492906 since 2006. The authorized official on file is Ronald Place, President/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164492906 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 4101 W MEMORY CIR STE 110, Sioux Falls, SD, 57107 |
| Phone | 6053228322 |
| Fax | 6053228317 |
| Enumeration date | 2006-01-24 |
| Last updated in NPPES | 2026-02-16 |
Authorized official
| Name | Ronald Place |
|---|---|
| Title | President/Ceo |
| Phone | 6053227903 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336H0001X | Home Infusion Therapy Pharmacy | Secondary | 100-1663 | SD |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | 100-1663 | SD |
| 3336S0011X | Specialty Pharmacy | Secondary | 100-1663 | SD |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | Secondary | 100-1663 | SD |
| 333600000X | Pharmacy | Secondary | 1001663 | SD |
| 251F00000X | Home Infusion Agency | Primary | 1001663 | SD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4304971 | Medicaid | IA | — |
| 350516200 | Medicaid | MN | — |
| 9166500 | Medicaid | SD | — |
| 8504010 | Medicaid | SD | — |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1164492906 Taxonomy: 251F00000X (Home Infusion Agency) Address: 4101 W MEMORY CIR STE 110, Sioux Falls, SD, 57107
Verify this record
Cross-check NPI 1164492906 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 is the NPI number for Avera Mckennan?
Who is the authorized official for Avera Mckennan?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2026-02-16.