Avera St. Mary's Hospital delivers comprehensive health care and extensive medical specialty services to central South Dakota. No matter where you live, whether in a rural location or the Pierre community, you and your doctor can rely on Avera St. Mary's for the vital care you need, right here at home. Get fast access to a wide range of specialists at Avera St. Mary's through our innovative eCARE™ telemedicine services, available at more than 150 Avera clinics and doctor offices across the region. In the Pierre area, you can visit the hospital or one of our affiliated primary care clinics or physician offices.