Organization · NPI-2
Avera Queen Of Peace
Medicare Defined Swing Bed Unit · Mitchell, SD
NPI number1386305829
StatusActive
Last updated in NPPESMar 16, 2022
Details
- NPI
- 1386305829
- Entity type
- Organization (NPI-2)
- Legal business name
- Avera Queen Of Peace
- Organization subpart
- No
- Enumeration date
- Jan 6, 2022
- Certification date
- Mar 16, 2022
- Last updated
- Mar 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 275N00000X | Medicare Defined Swing Bed Unit | – | – | Yes |
| 282NC0060X | General Acute Care Hospital, Critical Access | – | – |
Other names
- Avera Queen Of Peace Hospital -Swingbed (Doing Business As)
Practice location
525 N Foster StMitchell, SD 57301-2966
Phone 605-995-2000
Mailing address
Po Box 5045 Attn Prvenrolmt Palm Place BldgSioux Falls, SD 57117-5045
Phone 605-322-6428
Authorized official
Douglas Ekeren
Ceo
6056688322
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.