| NPI | 1144238619 |
|---|---|
| Doing Business As | AVERA ST MARYS HOSPITAL - ESRD |
| Entity Type | Organization |
| Authorized Contact | MIKEL HOLLAND CEO/President 605-224-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: SD 432305) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-07-15 |