| Avera Medical Group Pierre - A Dept Of Avera St Marys Hospital | |
|
100 Mac Ln Pierre SD 57501-3391 | |
| (605) 224-5901 | |
| (605) 945-3177 |
| Full Name | Avera Medical Group Pierre - A Dept Of Avera St Marys Hospital |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 100 Mac Ln, Pierre, South Dakota |
| Authorized Official Name and Position | Mikel Holland (CEO/PRESIDENT) |
| Authorized Official Contact | 6052243144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Medical Group Pierre - A Dept Of Avera St Marys Hospital 100 Mac Ln Pierre SD 57501-3391 Ph: (605) 224-5901 | Avera Medical Group Pierre - A Dept Of Avera St Marys Hospital 100 Mac Ln Pierre SD 57501-3391 Ph: (605) 224-5901 |
| NPI Number | 1841505807 |
|---|---|
| Provider Enumeration Date | 08/16/2010 |
| Last Update Date | 07/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841505807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (South Dakota) | Primary |
| 282N00000X | General Acute Care Hospital | 10556 (South Dakota) | Secondary |
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