Avera St Marys

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1144238619

Avera St Marys is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pierre, South Dakota. Licensed in South Dakota. Registered with an NPI since 2006.

Licensed in: SD
In the registry since: 2006

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Practice location Address checks out

801 E Sioux Ave
Pierre, SD 57501-3323
Phone: (605) 224-3100

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary)	Taxonomy 261QE0700X · Licence 432305 (SD)

Record details

NPI number	1144238619
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Mikel Holland — Ceo/President · (605) 224-3144
Other names	Avera St Marys Hospital - Esrd; Avera St Marys Hospital - Esrd
NPI enumerated	August 3, 2006
Last updated in NPPES	July 15, 2022
Certification date	July 15, 2022
Mailing address	Po Box 5045, Cbo Palm Place Prov Enrollmt, Sioux Falls, SD 57117-5045