Avera Queen Of Peace in Mitchell - Rural Health
Avera Queen Of Peace - NPI 1326043092
Avera Queen Of Peace is a Rural Health in Mitchell, South Dakota. Avera Queen Of Peace practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Avera Queen Of Peace is 1326043092. The last update date is 2020-08-20.
Avera Queen Of Peace's current location address is 525 N Foster St, Mitchell, South Dakota. You can contact this provider via phone number 6059952000 and fax number 6059952441. The mailing address for Avera Queen Of Peace is 525 N Foster St, Mitchell, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera Queen Of Peace |
|---|---|
| Address | 525 N Foster St, Mitchell, South Dakota |
| Phone Number | 6059952000 |
| Fax Number | 6059952441 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Ekeren Douglas |
| Telephone Number | 6056688322 |
NPI Number Detail
| NPI Number | 1326043092 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2020-08-20 |
Provider Mailing Address Detail
| Address | 525 N Foster St |
|---|---|
| City | Mitchell |
| State | South Dakota (SD) |
| Post Code | 5730129660 |
| Phone Number | 6059952000 |
| Fax Number | 6059952441 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5300492 | SD | -- | |
| CR0890 | SD | MEDICARE RR | |
| 4999748 | SD | WELLMARK | |
| RR1029 | SD | MEDICARE RAILROAD | |
| 00-00593 | SD | MEDICA | |
| 5300493 | SD | -- |
Post Comment/ Review Below
What is the Avera Queen Of Peace's 1326043092?
The Avera Queen Of Peace's NPI (National Provider Identifier) Number is 1326043092. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Avera Queen Of Peace is physically located?
The Avera Queen Of Peace is physically situated at the following address: 525 N Foster St, Mitchell, SD, 5730129660.
What is Avera Queen Of Peace's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Avera Queen Of Peace's specialized field of practice is Rural Health, and the corresponding taxonomy code that categorizes this area of specialization is 261Qr1300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326043092 to Avera Queen Of Peace?
The Centers for Medicare & Medicaid Services originally issued the 1326043092 to Avera Queen Of Peace on 2005-06-17.
As of what date were the Avera Queen Of Peace's details last updated?
The information pertaining to the Avera Queen Of Peace, including its address, specialty, and other details, was most recently updated on 2020-08-20.