Avera St Marys
Avera St Marys is a healthcare organization registered as Skilled Nursing Facility in Pierre, SD, holding Type 2 (organization) NPI 1063654648 since 2009. The authorized official on file is Mikel Holland, Ceo/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063654648 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera St Marys |
| Other name | <Unavail> |
| Practice address | 801 E SIOUX AVE, Pierre, SD, 57501 |
| Phone | 6052243100 |
| Fax | 6052248339 |
| Enumeration date | 2009-03-30 |
| Last updated in NPPES | 2022-07-15 |
Authorized official
| Name | Mikel Holland |
|---|---|
| Title | Ceo/President |
| Phone | 6052243144 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 10662 | SD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85034 | Other | SD | BCBS |
| 0150360 | Medicaid | SD | — |
Copy-ready billing details
Provider: Avera St Marys NPI: 1063654648 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 801 E SIOUX AVE, Pierre, SD, 57501
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1669457180 | Avera St Marys | Organization | General Acute Care Hospital | Pierre, SD |
| 1760469001 | Steven Case | Individual | Pharmacist | Pierre, SD |
| 1821075169 | Sandra Jacobson | Individual | Pharmacist | Pierre, SD |
| 1144238619 | Avera St Marys | Organization | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Pierre, SD |
| 1710995626 | Avera St Marys | Organization | Home Health Agency | Pierre, SD |
| 1629086533 | Avera St Marys | Organization | Community Based Hospice Care Agency | Pierre, SD |
| 1346409562 | Brad Saathoff | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Pierre, SD |
| 1760717581 | Angela Lisburg | Individual | Family Nurse Practitioner | Pierre, SD |
Verify this record
Cross-check NPI 1063654648 against the authoritative CMS record: view Avera St Marys on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Avera St Marys?
Who is the authorized official for Avera St Marys?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-15.