Avera Medical Group Internal Medicine Delaney Clinic

LBN: Avera Queen Of Peace
Avera Medical Group Internal Medicine Delaney Clinic is an health care organization with primary practice located at 1115 E 5Th Ave , Mitchell SD 57301-2917. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Avera Queen Of Peace can be contacted via phone (605) 996-5553, or through Ekeren, Douglas via phone (605) 668-8322.

Contact Information

Primary practice address
1115 E 5Th Ave Mitchell SD 57301-2917
Phone: (605) 996-5553
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ekeren, Douglas
Phone: (605) 668-8322

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1861740151
LBN Legal business name Avera Queen Of Peace
DBA Doing business as Avera Medical Group Internal Medicine Delaney Clinic
Authorized official Ekeren, Douglas
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2012
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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