AVERA ST MARYS — NPI 1669457180 (Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) in PIERRE, SD)

CMS-1500 Box 24J / 33a • NPI

1669457180

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

282N00000X (CMS A0[7])

Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)

Box 32 Service Location & ZIP+4

801 E SIOUX AVE, PIERRE, SD, 57501-3323

✓ 9-Digit EDI 837 ZIP+4 (57501-3323)

Practice Phone & Referral Fax

(605) 224-3100

Fax: (605) 224-8339

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1669457180 (AVERA ST MARYS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1669457180` (NPI-2 Organization / Facility)
Provider / Legal Name	AVERA ST MARYS
Plain-English Specialty	Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) NUCC Code: `282N00000X` (General Acute Care Hospital)
Certifying / Licensing Body	The Joint Commission (TJC) / CMS Conditions of Participation (CoP)
Practice Location Address	801 E SIOUX AVE, PIERRE, SD, 57501-3323
Practice Telephone / Fax	Tel: (605) 224-3100 \| Fax: (605) 224-8339
Administrative Mailing Address	PO BOX 5045, SIOUX FALLS, SD, 57117-5045
Enumeration & Last Sync	Enumerated: 2005-12-07 \| CMS Record Updated: 2022-07-15
Authorized Official	MIKEL HOLLAND (CEO/PRESIDENT)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

801 E SIOUX AVE, PIERRE, SD, 57501-3323

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Plain-English Taxonomy & CMS Crosswalk (282N00000X)

What Does Taxonomy Code 282N00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 282N00000X translates to:
"Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A0[7] (Hospital-General) • CMS Code A0[7] (Hospital-Acute Care) • CMS Code A0[7] (Hospital-Short-Term (General and Specialty)) • CMS Code A0[7] (Rural Emergency Hospitals)
Certifying / Accrediting Authority: The Joint Commission (TJC) / CMS Conditions of Participation (CoP)
Clinical Scope: Acute chest pain, stroke symptoms (F.A.S.T.), severe shortness of breath, major trauma, high fever with sepsis signs, acute abdominal pain, or surgical emergencies.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AVERA ST MARYS)

Typical CPT / Diagnostic Procedures:

Emergency Department Resuscitation & Trauma Stabilization (CPT 99281–99285)
Inpatient Acute Medical & Critical Care Admission (DRG / CPT 99221–99291)
Cross-Sectional Diagnostic Imaging: CT, MRI & Ultrasound
Inpatient General, Orthopedic & Cardiothoracic Surgery
24-Hour Clinical Laboratory, Blood Bank & Microbiology Services

Common Therapeutic Classes:

Broad-Spectrum IV Antimicrobials (Ceftriaxone, Piperacillin-Tazobactam, Vancomycin, Linezolid)
Parenteral Anticoagulants & Thrombolytics (Heparin, Enoxaparin, Alteplase)
Balanced Crystalloid Infusions & Oral Rehydration Protocols
Perioperative Anesthetics, Vasopressors & Analgesics

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`282N00000X` — General Acute Care Hospital Plain English: Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)	State: SD \| License: `10556` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AVERA ST MARYS (NPI #1669457180)