Organization
AVERA ST. MARY'S
Active
Parent organization
AVERA ST. MARY'S HOSPITAL CHILD ASSESSMENT CENTER
Other names
Avera St. Mary's Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVERA ST. MARY'S HOSPITAL CHILD ASSESSMENT CENTER
Authorized official
MIKEL HOLLAND (CEO/PRESIDENT)
(605) 224-3144
Entity
Organization
Contact information
Practice address
801 E SIOUX AVE, PIERRE, SD 57501-3323
(605) 224-3100
(605) 224-8339
Mailing address
PO BOX 5045, CBO PALM PLACE PRV ENRLMT, SIOUX FALLS, SD 57117-5045
(605) 322-6428
(605) 224-8339
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5405080
—
SD
Enumeration date
05/16/2013
Last updated
07/15/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us