Avera McKennan
NPI 1083679625ActiveOrganization· Clinic/Center· Miller, SD
Clinic/Center in Miller, South Dakota, registered in NPPES in April 2006. The authorized official on file is Ronald J. Place, MD, President/Ceo.
Overview
| NPI | 1083679625 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2006 |
| Last updated in NPPES | Sep 14, 2023 |
| Certified by provider | Sep 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|