Avera Mckennan
Avera Mckennan is a healthcare organization registered as Medicare Defined Swing Bed Hospital Unit in Gregory, SD, holding Type 2 (organization) NPI 1417215740 since 2012. The authorized official on file is Ronald Place, President/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417215740 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 400 PARK AVE, Gregory, SD, 57533 |
| Phone | 6058359394 |
| Fax | 6058359422 |
| Enumeration date | 2012-04-24 |
| Last updated in NPPES | 2023-10-04 |
Authorized official
| Name | Ronald Place |
|---|---|
| Title | President/Ceo |
| Phone | 6053227903 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | Primary | 43-Z338 | SD |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1417215740 Taxonomy: 275N00000X (Medicare Defined Swing Bed Hospital Unit) Address: 400 PARK AVE, Gregory, SD, 57533
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1811091473 | Avera Mckennan | Organization | Home Health Agency | Gregory, SD |
| 1083896294 | James Arlt | Individual | Certified Registered Nurse Anesthetist | Gregory, SD |
| 1346660693 | Avera at Home | Organization | In Home Supportive Care Agency | Gregory, SD |
| 1770939530 | Avera Gregory | Organization | Critical Access Hospital | Gregory, SD |
| 1720435068 | Justin Hood | Individual | Physical Therapist | Gregory, SD |
| 1326495409 | Avera Mckennan | Organization | Physical Therapy Clinic/Center | Gregory, SD |
| 1861841710 | Lacy Krysl | Individual | Occupational Therapist | Gregory, SD |
| 1487176202 | Tanae Kartak | Individual | Occupational Therapist | Gregory, SD |
Verify this record
Cross-check NPI 1417215740 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
Where is Avera Mckennan located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2023-10-04.