OrganizationActive
Avera Mckennan
NPI 1538527106 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Wagner, SD
Provider details
- NPI number
- 1538527106
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ronald Place, President/Ceo(605) 322-7903
- License
- 10563 (SD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
310 W Sd Highway 46
Wagner, SD 57380-9304
Phone: (605) 384-4980
Fax: (605) 384-4990
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5045
Sioux Falls, SD 57117-5045
Other names (DBA / former)
- Doing business as
- Avera Dialysis Wagner
- Doing business as
- Avera Dialysis Wagner
Registry dates
- Enumerated
- 2016-02-10
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.