Avera Queen Of Peace in Mitchell - Rural Health
Avera Queen Of Peace - NPI 1639174568
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 1639174568. 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 | 1639174568 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| 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 |
|---|---|---|---|
| 5307010 | SD | -- | |
| 5307012 | SD | -- | |
| 4998666 | SD | WELLMARK | |
| 00-00592 | SD | MEDICA | |
| CR0890 | SD | MEDICARE RR |
Post Comment/ Review Below
What is the unique identifier code issued to Avera Queen Of Peace by the Centers for Medicare & Medicaid Services (CMS)?
The Avera Queen Of Peace has been assigned the NPI (National Provider Identifier) 1639174568. This 10-digit code serves as a unique identification number for healthcare providers, issued by the 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 area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Avera Queen Of Peace is Rural Health, and the taxonomy code that categorizes this field of expertise is 261Qr1300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639174568 to Avera Queen Of Peace?
The Centers for Medicare & Medicaid Services originally issued the 1639174568 to Avera Queen Of Peace on 2005-06-16.
When was the information related to Avera Queen Of Peace most recently updated or refreshed?
The details pertaining to the Avera Queen Of Peace, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-20.