Avera Weskota Mem Med Cntr

LBN: Avera Queen Of Peace
Avera Weskota Mem Med Cntr is an health care organization with primary practice located at 609 1St St Ne , Wessington Springs SD 57382-2136. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Avera Queen Of Peace can be contacted via phone (605) 539-1201, or through Ekeren, Douglas via phone (605) 668-8321.

Contact Information

Primary practice address
609 1St St Ne Wessington Springs SD 57382-2136
Phone: (605) 539-1201
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ekeren, Douglas
Phone: (605) 668-8321

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X 2000994 South Dakota

Profile Details

NPI number 1992712921
LBN Legal business name Avera Queen Of Peace
DBA Doing business as Avera Weskota Mem Med Cntr
Authorized official Ekeren, Douglas
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2006
Last updated Sep 14th, 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 1992712921 NPPES
Other 4353859 NCPDP PROVIDER IDENTIFICATION NUMBER

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