Avera Queen Of Peace Hospital

LBN: Avera Queen Of Peace
Avera Queen Of Peace Hospital is an health care organization with primary practice located at 525 N Foster St , Mitchell SD 57301-2966. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Hospitals / Rural, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Hospitals / Rural is 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
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Hospitals / Rural 282NR1301X 10552 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1154324507
LBN Legal business name Avera Queen Of Peace
DBA Doing business as Avera Queen Of Peace Hospital
Authorized official Ekeren, Douglas
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated Aug 20th, 2020 - about 4 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 1154324507 NPPES
South Dakota Other CR0890 RR MEDICARE
South Dakota MEDICAID 0100130 RR MEDICARE
South Dakota Other 5500130 RR MEDICARE

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