Avera Queen of Peace
NPI #1851396550 in Mitchell, South Dakota
Provider Information
- NPI Number
- 1851396550
- Entity Type
- Organization
- Organization Name
- Avera Queen of Peace
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 17, 2005
- Last Updated
- Aug 20, 2020
Practice Location
- Address
- 525 N FOSTER ST
- City
- Mitchell
- State
- South Dakota
- ZIP Code
- 57301-2966
- Phone
- (605) 995-2460
Authorized Official
- Name
- DOUGLAS EKEREN
- Title
- PRESIDENT/CEO
- Phone
- (605) 668-8322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Durable Medical Equipment & Medical Supplies |
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