| NPI | 1720326713 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP PIERRE A DEPARTMENT OF AVERA ST MARYS HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | SHANTEL KREBS CEO 605-224-3144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2023-04-24 |