Organization · NPI-2
Avera Queen Of Peace
General Acute Care Hospital, Critical Access · Mitchell, SD
NPI number1992466635
StatusActive
Last updated in NPPESJan 5, 2022
Details
- NPI
- 1992466635
- Entity type
- Organization (NPI-2)
- Legal business name
- Avera Queen Of Peace
- Organization subpart
- No
- Enumeration date
- Jan 5, 2022
- Certification date
- Jan 5, 2022
- Last updated
- Jan 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282NC0060X | General Acute Care Hospital, Critical Access | – | – | Yes |
Other names
- Avera Queen Of Peace Hospital (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
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