Avera Brady Health And Rehab

LBN: Avera Queen Of Peace
Avera Brady Health And Rehab is an health care organization with primary practice located at 500 S Ohlman St , Mitchell SD 57301-3109. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Avera Queen Of Peace can be contacted via phone (605) 996-7701, or through Ekeren, Douglas via phone (605) 668-8322.

Contact Information

Primary practice address
500 S Ohlman St Mitchell SD 57301-3109
Phone: (605) 996-7701
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ekeren, Douglas
Phone: (605) 668-8322

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10652 South Dakota

Profile Details

NPI number 1144225129
LBN Legal business name Avera Queen Of Peace
DBA Doing business as Avera Brady Health And Rehab
Authorized official Ekeren, Douglas
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 16th, 2005
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 1144225129 NPPES
South Dakota MEDICAID 0151182

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