AVERA ST MARYS NPI 1841505807

NPI Information

NPI: 1841505807
Provider Name: AVERA ST MARYS

Doing Business As: AVERA MEDICAL GROUP PIERRE - A DEPT OF AVERA ST MARYS HOSPITAL

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
100 MAC LN
PIERRE, SD
ZIP 57501
Phone: (605) 224-5901
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AVERA ST MARYS is a multi-specialty clinic center in Pierre, SD. AVERA ST MARYS NPI is 1841505807. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Medical Group Pierre - A Dept Of Avera St Marys Hospital.

The provider's business location address is:

100 MAC LN
PIERRE, SD
ZIP 57501-391
Phone: (605) 224-5901
Fax: (605) 945-3177

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 8/16/2010 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	282N00000X	General Acute Care Hospital		10556	SOUTH DAKOTA	No
2	261QM1300X	Clinic/Center	Multi-Specialty		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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