Avera Medical Group De Smet

LBN: Avera Queen Of Peace
Avera Medical Group De Smet is an health care organization with primary practice located at 801 3Rd St Sw , De Smet SD 57231-2224. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Avera Queen Of Peace can be contacted via phone (605) 854-3834, or through Ekeren, Douglas via phone (605) 668-8322.

Contact Information

Primary practice address
801 3Rd St Sw De Smet SD 57231-2224
Phone: (605) 854-3834
Fax: (605) 854-3878
Website:
Map and Directions
Authorized official contact:
Name: Ekeren, Douglas
Phone: (605) 668-8322

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1881964484
LBN Legal business name Avera Queen Of Peace
DBA Doing business as Avera Medical Group De Smet
Authorized official Ekeren, Douglas
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2012
Last updated Apr 24th, 2023 - about 3 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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