Avera Mckennan
Avera Mckennan is a healthcare organization registered as Mobile Mammography Clinic/Center in Sioux Falls, SD, holding Type 2 (organization) NPI 1588997365 since 2009. The authorized official on file is Ronald Place, President/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1588997365 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 1000 E 23RD ST, SUITE 330, Sioux Falls, SD, 57105 |
| Phone | 6053227465 |
| Enumeration date | 2009-09-11 |
| 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 |
|---|---|---|---|---|
| 261QR0207X | Mobile Mammography Clinic/Center | Primary | 10563 | SD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588997365 | Other | SD | WELLMARK BCBS SD |
| 7290300 | Medicaid | SD | — |
| 9290118 | Other | — | DAKOTACARE |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1588997365 Taxonomy: 261QR0207X (Mobile Mammography Clinic/Center) Address: 1000 E 23RD ST, SUITE 330, Sioux Falls, SD, 57105
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1639172349 | Casey Williams | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Sioux Falls, SD |
| 1760484570 | James Simon | Individual | Radiation Oncology Physician | Sioux Falls, SD |
| 1124017256 | Michael Mchale | Individual | Hematology & Oncology Physician | Sioux Falls, SD |
| 1598755001 | Sally Williams | Individual | Family Medicine Physician | Sioux Falls, SD |
| 1992771760 | Melissa Hoogeveen | Individual | Nurse Practitioner | Sioux Falls, SD |
| 1750357299 | Mark Huber | Individual | Hematology & Oncology Physician | Sioux Falls, SD |
| 1467428995 | David Elson | Individual | Medical Oncology Physician | Sioux Falls, SD |
| 1063488310 | Kristen Hurley | Individual | Family Nurse Practitioner | Sioux Falls, SD |
Verify this record
Cross-check NPI 1588997365 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
How current is this record?
Where is Avera Mckennan located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-10-04.