AVERA ST MARYS NPI 1144238619

NPI Information

NPI: 1144238619
Provider Name: AVERA ST MARYS

Doing Business As: AVERA ST MARYS HOSPITAL - ESRD

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
801 E SIOUX AVE
PIERRE, SD
ZIP 57501
Phone: (605) 224-3100
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AVERA ST MARYS is an end-stage renal disease (esrd) treatment clinic center in Pierre, SD. AVERA ST MARYS NPI is 1144238619. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera St Marys Hospital - Esrd.

The provider's business location address is:

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

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 8/3/2006 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	432305	SOUTH DAKOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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