# AVERA ST MARYS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avera Medical Group Pierre - a dept of Avera St Marys Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841505807
- **Authorized official:** MIKEL HOLLAND (CEO/PRESIDENT)
- **Authorized official phone:** (605) 224-3144

## Contact information

- **Practice address:** 100 MAC LN, PIERRE, SD 57501-3391
- **Practice address phone:** (605) 224-5901
- **Practice address fax:** (605) 945-3177
- **Mailing address:** 100 MAC LN, PIERRE, SD 57501-3391
- **Mailing address phone:** (605) 224-5901
- **Mailing address fax:** (605) 945-3177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | SD | Yes |
| 282N00000X | General Acute Care Hospital | 10556 | SD | — |

## Other

- **Enumeration date:** 08/16/2010
- **Last updated:** 07/15/2022