Avera Weskota Memorial Medical Center Swing Bed Program

LBN: Avera Queen Of Peace
Avera Weskota Memorial Medical Center Swing Bed Program is an health care organization with primary practice located at 604 1St St Ne , Wessington Springs SD 57382-2134. The organization recently has only one registered license in Hospital Units / Medicare Defined Swing Bed Unit, which is considered as the primary health care specialty. Avera Queen Of Peace can be contacted via phone (605) 539-1021, or through Ekeren, Douglas via phone (605) 668-8322.

Contact Information

Primary practice address
604 1St St Ne Wessington Springs SD 57382-2134
Fax: (605) 539-4580
Website:
Authorized official contact:
Name: Ekeren, Douglas

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Medicare Defined Swing Bed Unit 275N00000X 48209 South Dakota

Profile Details

NPI number 1942205646
LBN Legal business name Avera Queen Of Peace
DBA Doing business as Avera Weskota Memorial Medical Center Swing Bed Program
Authorized official Ekeren, Douglas
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 17th, 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 1942205646 NPPES
South Dakota MEDICAID 0159082

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