Avera St Marys Home Health

LBN: Avera St Marys
Avera St Marys Home Health is an health care organization with primary practice located at 801 E Sioux Ave , Pierre SD 57501. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Avera St Marys can be contacted via phone (605) 224-3100, or through Wagner, Thomas James via phone (605) 224-3127.

Contact Information

Primary practice address
801 E Sioux Ave Pierre SD 57501
Phone: (605) 224-3100
Fax: (605) 224-8339
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Thomas James
Phone: (605) 224-3127

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 437046 South Dakota

Profile Details

NPI number 1710995626
LBN Legal business name Avera St Marys
DBA Doing business as Avera St Marys Home Health
Authorized official Wagner, Thomas James
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 7th, 2014 - about 12 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 1710995626 NPPES
South Dakota Other 87046 BLUE CROSS PROVIDER #
South Dakota MEDICAID 0170030 BLUE CROSS PROVIDER #

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