AVERA ST. MARY'S NPI 1124464128

NPI Information

AVERA ST. MARY'S is a medical specialty clinic center in Pierre, SD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). AVERA ST. MARY'S NPI is 1124464128. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera St. Mary's Hospital.

The provider's business location address is:

801 E SIOUX AVE
PIERRE, SD
ZIP 57501-323
Phone: (605) 224-3100
Fax: (605) 224-8339

The provider's authorized official is Mikel Holland .
The authorized official title is Ceo/president and has the following contact phone number (605) 224-3144.

The enumeration date for this NPI number is 5/16/2013 and was last updated on 7/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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