<Unavail>

LBN: Avera Queen Of Peace
<Unavail> is an health care organization with primary practice located at 525 N Foster St , Mitchell SD 57301-2966. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Avera Queen Of Peace can be contacted via phone (605) 995-2000, or through Ekeren, Douglas via phone (605) 668-8322.

Contact Information

Primary practice address
525 N Foster St Mitchell SD 57301-2966
Phone: (605) 995-2000
Fax: (605) 995-2441
Website:
Map and Directions
Authorized official contact:
Name: Ekeren, Douglas
Phone: (605) 668-8322

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1053548982
LBN Legal business name Avera Queen Of Peace
DBA Doing business as <Unavail>
Authorized official Ekeren, Douglas
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2009
Last updated Aug 20th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053548982 NPPES
South Dakota MEDICAID 5500130

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