Organization
AVERA ST MARYS
Active
Other names
Avera St. Mary's Hospital
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
(605) 224-8339
Mailing address
PO BOX 5045, STE PFS PROV ENROLLMENT, SIOUX FALLS, SD 57117-5045
(605) 322-6428
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
10556
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100150
—
SD
05
—
5500150
—
SD
01
—
80015
BCBS
—
Enumeration date
12/07/2005
Last updated
07/15/2022
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