Organization
AVERA ST MARYS
Active
Organization
AVERA ST MARYS
Active
Other names
Avera St Marys Hospital - ESRD
Organization subpart
No
Provider details
NPI number
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
Mailing address
PO BOX 5045, CBO PALM PLACE PROV ENROLLMT, SIOUX FALLS, SD 57117-5045
(605) 322-6428
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
432305
SD
Other
Enumeration date
08/03/2006
Last updated
07/15/2022
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