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 only one registered license in Suppliers / Pharmacy, 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) 668-8321.

Contact Information

Primary practice address
525 N Foster St Mitchell SD 57301-2966
Phone: (605) 995-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ekeren, Douglas
Phone: (605) 668-8321

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 100-1023 South Dakota

Profile Details

NPI number 1679541825
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 Yes
Enumeration date Mar 14th, 2006
Last updated Jul 15th, 2022 - about 2 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 1679541825 NPPES
South Dakota MEDICAID 0100130

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