Organization
AVERA ST MARYS
Active
Other names
Avera St. Mary's Hospital Swingbed
Organization subpart
No
Provider details
NPI number
Authorized official
MIKEL HOLLAND (CEO/PRESIDENT)
(605) 224-3144
Entity
Organization
Contact information
Practice address
801 EAST SIOUX AVE, PIERRE, SD 57501-3323
(605) 224-3100
(605) 224-8339
Mailing address
PO BOX 5045 ATTN PRVENROLMT PALM PLACE BLDG, SIOUX FALLS, SD 57117-5045
(605) 322-6428
(605) 322-6499
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
43U015
SD
Other
Enumeration date
08/03/2006
Last updated
07/15/2022
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