AVERA QUEEN OF PEACE NPI 1851396550

NPI Information

AVERA QUEEN OF PEACE is a durable medical equipment medical supplies in Mitchell, SD. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. AVERA QUEEN OF PEACE NPI is 1851396550. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Queen Of Peace Home Medical Equipment.

The provider's business location address is:

525 N FOSTER ST
MITCHELL, SD
ZIP 57301-966
Phone: (605) 995-2460
Fax: (605) 995-5672

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 6/17/2005 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:

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