Avera Queen of Peace

NPI #1780689489 in Mitchell, South Dakota

Provider Information

NPI Number
1780689489
Entity Type
Organization
Organization Name
Avera Queen of Peace
Subpart
Yes (part of a larger organization)
Parent Organization
AVERA QUEEN OF PEACE
Primary Specialty
Medicare Defined Swing Bed Unit
Enumeration Date
Jun 17, 2005
Last Updated
Aug 20, 2020

Practice Location

Address
525 N FOSTER ST
ZIP Code
57301-2966
Phone
(605) 995-2000

Authorized Official

Name
DOUGLAS EKEREN
Title
PRESIDENT/CEO
Phone
(605) 668-8322

Specialties & Taxonomy Codes

Specialty
Medicare Defined Swing Bed Unit

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