AVERA QUEEN OF PEACE NPI 1154324507

NPI Information

NPI: 1154324507
Provider Name: AVERA QUEEN OF PEACE

Doing Business As: AVERA QUEEN OF PEACE HOSPITAL

Classification: General Acute Care Hospital - 282NR1301X
Entity Type: Organization

Specialization: Rural

Address:
525 N FOSTER ST
MITCHELL, SD
ZIP 57301
Phone: (605) 995-2000
Get Directions

AVERA QUEEN OF PEACE is a rural general acute care hospital in Mitchell, SD. AVERA QUEEN OF PEACE NPI is 1154324507. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Avera Queen Of Peace Hospital.

The provider's business location address is:

525 N FOSTER ST
MITCHELL, SD
ZIP 57301-966
Phone: (605) 995-2000
Fax: (605) 995-2441

The provider's authorized official is Douglas Ekeren .
The authorized official title is President/ceo and has the following contact phone number (605) 668-8322.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 8/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine				No
2	207Q00000X	Family Medicine				No
3	367500000X	Nurse Anesthetist, Certified Registered				No
4	282NR1301X	General Acute Care Hospital	Rural	10552	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CR0890	OTHER	SOUTH DAKOTA	RR MEDICARE
2	0100130	MEDICAID	SOUTH DAKOTA
3	5500130	OTHER	SOUTH DAKOTA	MEDICAID OUTPATIENT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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