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Organization

AVERA ST MARYS

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

Provider details

NPI number
Authorized official
MIKEL HOLLAND (CEO/PRESIDENT)
(605) 224-3144
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
08/16/2010
Last updated
07/15/2022
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