AVERA MCKENNAN – NPI #1275562027
General Acute Care Hospital

AVERA MCKENNAN is a general acute care hospital located in GREGORY, SD. NPPES has assigned the NPI number 1275562027 to AVERA MCKENNAN on July 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was last updated on Nov 17, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERA MCKENNAN below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1275562027
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVERA MCKENNAN
Primary location
110 S LOGAN AVE
GREGORY, SD 57533-1614
Phone: (605) 835-8394 Fax:
1 Other location(s):
400 Park Ave.
Gregory, SD 57533-1302
Phone: (605) 835-8394 Ext: 162
Fax: (605) 835-9422
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RONALD PLACE
PRESIDENT/CEO
Phone: (605) 322-7903
Updated
Certification Date
Nov 17, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AVERA MCKENNAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidSD0159260
medicaidSD0100350
medicaidSD5500350
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)		 SD 54875
275N00000X
- Medicare Defined Swing Bed Unit

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.