AVERA ST MARYS (NPI# 1669457180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669457180 |
| Entity Type | Organization |
| Organization Name | AVERA ST MARYS |
| Other Organization Name | AVERA ST. MARY'S HOSPITAL |
| Practice Address |
801 E Sioux Ave Pierre SD 57501-3323 |
| Mailing Address |
Po Box 5045 Ste Pfs Prov Enrollment Sioux Falls SD 57117-5045 |
| Practice Telephone | 6052243100 |
| Practice Fax Number | 6052248339 |
| Mailing Telephone | 6053226428 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2017-08-04 |
| Authorized Official Name | TODD FORKEL (CEO) |
| Authorized Official Telephone | 6052243100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 10556 | SD | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0100150 | 05 | |
| BCBS | 80015 | 01 | |
| SD | 5500150 | 05 |
| Other Name | Type Code |
|---|---|
| Avera St. Mary's Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992713457 | Avera St Marys | Medicare Defined Swing Bed Unit | 801 East Sioux Ave, Pierre, SD 57501-3323 | 2006-08-03 |
| 1720326713 | Avera St Marys | General Acute Care Hospital | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2013-01-25 |
| 1841505807 | Avera St Marys | General Acute Care Hospital | 100 Mac Ln, Pierre, SD 57501-3391 | 2010-08-16 |
| 1841511904 | Avera St Marys | Custodial Care Facility | 801 E Sioux Ave, Pierre, SD 57501 | 2010-06-11 |
| 1063654648 | Avera St Marys | Skilled Nursing Facility | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2009-03-30 |
| 1710995626 | Avera St Marys | Home Health | 801 E Sioux Ave, Pierre, SD 57501 | 2006-08-04 |
| 1629086533 | Avera St Marys | Hospice Care, Community Based | 801 E Sioux Ave, Pierre, SD 57501 | 2006-08-04 |
| 1144238619 | Avera St Marys | Clinic/Center | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2006-08-03 |
| Street Address |
801 E SIOUX AVE |
| City | PIERRE |
| State | SD |
| Zip Code | 57501-3323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902165 | Kenna Wieczorek | Occupational Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2020-11-04 |
| 1811519325 | Deborah Ann Holland | Physical Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2020-05-07 |
| 1750900528 | Sierra Irwin | Physical Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2020-04-13 |
| 1780240994 | Michael Patrick Murphy | Nurse Anesthetist, Certified Registered | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2019-05-13 |
| 1114406261 | Amy Weller | Physical Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2018-08-09 |
| 1467807917 | Joseph Swedzinski | Family Medicine | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2016-05-03 |
| 1396199337 | Ann Shoup | Physical Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2016-04-15 |
| 1508220724 | Carrie J Larson | Occupational Therapist | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2016-04-13 |
| 1104280296 | Erica Trebesch | Nurse Anesthetist, Certified Registered | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2016-04-05 |
| 1770948150 | Maari Christine Labrie | Registered Nurse | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2015-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518420694 | Shawna K Fullerton | Social Worker | 1309 E Wells Ave, Pierre, SD 57501 | 2019-04-07 |
| 1841779758 | Joanne Sarringar | Physical Therapist | 801 E. Sioux Avenue, Pierre, SD 57501 | 2018-08-10 |
| 1003234832 | Katherine Bonnichsen | Dermatology | Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave, Pierre, SD 57501 | 2014-03-29 |
| 1417232166 | Louis J Van Roekel | Pharmacist | 100 E Sioux, Pierre, SD 57501 | 2011-10-13 |
| 1508164401 | Bechtold Thompson Dental Clinic | Dentist | 640 E. Sioux Ave, Pierre, SD 57501 | 2011-03-02 |
| 1417180969 | Dentistry At The St. Charles LLC | Dentist | 207 E. Capitol Ave. Ste 201, Pierre, SD 57501 | 2009-09-01 |
| 1063663995 | Buron O. Lindbloom | Family Medicine | 3200 E. Hwy 34, S.d. Womens Prison, Pierre, SD 57501 | 2008-10-09 |
| 1831221522 | Curt C Kuehl | Chiropractor | 430 W Sioux Ave, Pierre, SD 57501 | 2007-03-09 |
| 1376603092 | Tim Wald | Physical Therapist | 1012 Woodview Dr #20, Pierre, SD 57501 | 2006-12-11 |
| 1184702540 | Tami Lynn Hogie-lorenzen | Nurse Practitioner | 1714 Abbey Road, Pierre, SD 57501 | 2006-11-02 |
| Find all providers in zip 57501 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720326713 | Avera St Marys | General Acute Care Hospital | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2013-01-25 |
| 1841505807 | Avera St Marys | General Acute Care Hospital | 100 Mac Ln, Pierre, SD 57501-3391 | 2010-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629474549 | Rosebud Ihs Hospita;l | General Acute Care Hospital | Solder Creek Road, Rosebud, SD 57570 | 2014-11-05 |
| 1407108053 | Sanford Health | General Acute Care Hospital | 3401 W 49th St Ste 2, Sioux Falls, SD 57106-2369 | 2012-10-05 |
| 1356663256 | Pine Ridge Ihs | General Acute Care Hospital | 1201 East Hwy 18, Pine Ridge, SD 57770-1201 | 2010-02-18 |
| 1922337716 | Indian Health Service | General Acute Care Hospital | 3500 Canyon Lake Dr, Rapid City, SD 57702-3118 | 2009-12-08 |
| 1558594192 | Maria Klamm | General Acute Care Hospital | 1210 W 18th St Ste Ll01, Sioux Falls, SD 57104-4655 | 2009-08-31 |
| 1184844391 | Deana Gipp | General Acute Care Hospital | 317 North Main Steet, Eagle Butte, SD 57625 | 2007-04-27 |
| 1952371676 | Holy Infant Hospital | General Acute Care Hospital | 512 Main Street, Hoven, SD 57450 | 2006-01-25 |
| 1275515579 | City of Brookings | General Acute Care Hospital | 300 22nd Ave, Brookings, SD 57006-2474 | 2005-11-14 |
| 1023003969 | Heart Hospital of South Dakota LLC | General Acute Care Hospital | 4500 W 69th St, Sioux Falls, SD 57108-8148 | 2005-09-16 |
| 1568460772 | Avera Mckennan | General Acute Care Hospital | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2005-07-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.