Avera St Marys

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

431512 Issued in SD

Legal business name

AVERA ST MARYS

Doing business as

Avera St Marys Hospice

Practice address

801 E Sioux Ave
Pierre, SD 57501

Phone

(605) 224-3100

NPI assigned

Aug 4, 2006

Last updated

Jul 31, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Todd Forkel

Title

Ceo

Phone

(605) 224-3100

Specialties & licenses 1

Addresses

Other names 1

• Avera St Marys Hospice Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501459200000",
    "number": "1629086533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E SIOUX AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "57501",
            "telephone_number": "605-224-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E SIOUX AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "57501",
            "telephone_number": "605-224-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA ST MARYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2017-07-31",
        "status": "A",
        "authorized_official_last_name": "FORKEL",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-224-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "SD",
            "license": "431512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera St Marys Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Avera St Marys
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• Avera St Marys (Avera St Marys Home Health)
• Avera St Marys (Avera Pierre Clinic)
• Avera St Marys (Avera St Marys Hospital -Swingbed)
• Avera St Marys (Avera Medical Group Pierre - a dept of Avera St Marys Hospital)

• Community Based Hospice Care Agency in Pierre, SD
• Providers in Pierre, SD by specialty
• Community Based Hospice Care Agency in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.