Avera Queen Of Peace in Mitchell - Medicare Defined Swing Bed Unit
Avera Queen Of Peace - NPI 1255500534
Avera Queen Of Peace is a Medicare Defined Swing Bed Unit in Mitchell, South Dakota. Avera Queen Of Peace practices all healthcare services and medical treatments related to Medicare Defined Swing Bed Unit. The NPI Number for Avera Queen Of Peace is 1255500534. 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 | 1255500534 |
|---|---|
| Provider Enumeration Date | 2008-02-21 |
| Last Updated Date | 2020-08-20 |
Provider Mailing Address Detail
| Address | 525 N Foster St |
|---|---|
| City | Mitchell |
| State | South Dakota (SD) |
| Post Code | 573012966 |
| Phone Number | 6059952000 |
| Fax Number | 6059952441 |
Provider's Primary Taxonomy Detail
| Speciality | Medicare Defined Swing Bed Unit |
|---|---|
| Taxonomy | 275N00000X |
| Licence No | 50726 |
|
Definition: A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 159360 | SD | -- |
Post Comment/ Review Below
What is the Avera Queen Of Peace's 1255500534?
The Avera Queen Of Peace's NPI (National Provider Identifier) Number is 1255500534. 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 physical location address of Avera Queen Of Peace?
The Avera Queen Of Peace is physically situated at 525 N Foster St, in the city of Mitchell, state of SD, with the postal code 573012966.
What is the Avera Queen Of Peace's specialty and taxonomy code?
The Avera Queen Of Peace's specialty is Medicare Defined Swing Bed Unit, and the corresponding taxonomy code is 275N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255500534 to Avera Queen Of Peace?
The Centers for Medicare & Medicaid Services originally issued the 1255500534 to Avera Queen Of Peace on 2008-02-21.
As of what date was the information pertaining to Avera Queen Of Peace, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Avera Queen Of Peace, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-20.