AVERA ST MARYS (NPI# 1710995626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710995626 |
| Entity Type | Organization |
| Organization Name | AVERA ST MARYS |
| Other Organization Name | AVERA ST MARYS HOME HEALTH |
| Practice Address |
801 E Sioux Ave Pierre SD 57501 |
| Practice Telephone | 6052243100 |
| Practice Fax Number | 6052248339 |
| Mailing Telephone | 6052243100 |
| Mailing Fax Number | 6052248339 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2014-07-07 |
| Authorized Official Name | MR. THOMAS JAMES WAGNER (CFO) |
| Authorized Official Telephone | 6052243127 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 437046 | SD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0170030 | 05 | |
| SD | BLUE CROSS PROVIDER # | 87046 | 01 |
| Other Name | Type Code |
|---|---|
| Avera St Marys Home Health | 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 |
| 1669457180 | Avera St Marys | General Acute Care Hospital | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2005-12-07 |
| 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 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669457180 | Avera St Marys | General Acute Care Hospital | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2005-12-07 |
| 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 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912150608 | At Home Nursing | Home Health | 1102 S Cleveland Ave, Pierre, SD 57501-4456 | 2008-10-28 |
| 1639218084 | Homecare Services of South Dakota, Inc. | Home Health | 316 Coteau St, Pierre, SD 57501-3189 | 2007-02-05 |
| 1124503404 | Caringedge Healthcare of Pierre | Home Health | 1950 E 4th St, Pierre, SD 57501-4201 | 2018-10-02 |
| 1336579127 | Avera At Home | Home Health | 801 E Sioux Ave, Pierre, SD 57501-3323 | 2013-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841826633 | All Nations Interpreters, Inc | Home Health | 102 N Krohn Pl Ste 213, Sioux Falls, SD 57103-1847 | 2020-03-12 |
| 1467949396 | American Seniors | Home Health | 1805 23rd Ave Se, Aberdeen, SD 57401-5697 | 2018-04-17 |
| 1639613912 | Whole Child Wellness, LLC | Home Health | 2340 Deadwood Ave, Suite K, Rapid City, SD 57702-0356 | 2016-12-06 |
| 1093261794 | Prairie Care Home Health LLC | Home Health | 300 North Fairgrounds Street, Faith, SD 57626-0061 | 2016-09-01 |
| 1336594753 | Universal Nursing Services, Ltd | Home Health | 4300 S Technology Dr, Sioux Falls, SD 57106-4212 | 2016-05-04 |
| 1770937807 | Prosperous Home Health LLC | Home Health | 400 N Main Ave, Suite 204, Sioux Falls, SD 57104-5914 | 2016-04-14 |
| 1891168746 | Grace of The Pines Home Health LLC | Home Health | 646 Jennings Ave, Suite 18, Hot Springs, SD 57747-1664 | 2015-11-01 |
| 1386011898 | Multicultural Home Health Services, LLC | Home Health | 616 N Lewis Ave Apt V, Sioux Falls, SD 57103-1026 | 2015-09-01 |
| 1093191850 | Touching Lives Caregiver, LLC | Home Health | 2 N. Plum St, Vermillion, SD 57069 | 2015-08-04 |
| 1043616329 | The Evangelical Lutheran Good Samaritan Society | Home Health | 1104 Jackson Blvd Ste B, Rapid City, SD 57702-4399 | 2014-11-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AVERA ST MARYS.
| 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.