Avera Mckennan
Avera Mckennan is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Gregory, SD, holding Type 2 (organization) NPI 1255435814 since 2006. The authorized official on file is Ronald Place, Ceo/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255435814 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 110 S LOGAN AVE, Gregory, SD, 57533 |
| Phone | 6058358394 |
| Enumeration date | 2006-09-12 |
| Last updated in NPPES | 2023-10-04 |
Authorized official
| Name | Ronald Place |
|---|---|
| Title | Ceo/President |
| Phone | 6053227903 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 282NC0060X | Critical Access Hospital | Secondary | 54875 | SD |
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5500350 | Medicaid | SD | — |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1255435814 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 110 S LOGAN AVE, Gregory, SD, 57533
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1891748299 | Philip Kilmer | Individual | Emergency Medicine Physician | Gregory, SD |
| 1275562027 | Avera Mckennan | Organization | Critical Access Hospital | Gregory, SD |
| 1477446250 | Joshua Trede | Individual | Physical Therapist | Gregory, SD |
Verify this record
Cross-check NPI 1255435814 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 a Type 2 NPI?
What type of organization is Avera Mckennan?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2023-10-04.