Avera Maryhouse Long Term Care

LBN: Avera St Marys
Avera Maryhouse Long Term Care is an health care organization with primary practice located at 801 E Sioux Ave , Pierre SD 57501-3323. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Avera St Marys can be contacted via phone (605) 224-3100, or through Holland, Mikel via phone (605) 224-3144.

Contact Information

Primary practice address
801 E Sioux Ave Pierre SD 57501-3323
Phone: (605) 224-3100
Fax: (605) 224-8339
Website:
Map and Directions
Authorized official contact:
Name: Holland, Mikel
Phone: (605) 224-3144

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10662 South Dakota

Profile Details

NPI number 1063654648
LBN Legal business name Avera St Marys
DBA Doing business as Avera Maryhouse Long Term Care
Authorized official Holland, Mikel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2009
Last updated Jul 15th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063654648 NPPES
South Dakota Other 85034 BCBS
South Dakota MEDICAID 0150360 BCBS

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