Avera Queen Of Peace in Mitchell - Critical Access
Avera Queen Of Peace - NPI 1710155460
Avera Queen Of Peace is a Critical Access in Mitchell, South Dakota. Avera Queen Of Peace practices all healthcare services and medical treatments related to Critical Access. The NPI Number for Avera Queen Of Peace is 1710155460. The last update date is 2020-08-06.
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 | 6056688321 |
NPI Number Detail
| NPI Number | 1710155460 |
|---|---|
| Provider Enumeration Date | 2008-02-15 |
| Last Updated Date | 2020-08-06 |
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 | Critical Access |
|---|---|
| Taxonomy | 282Nc0060X |
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Definition: Small, rural hospital meeting location and service criteria that allow it to receive cost-based Medicare and Medicaid reimbursement. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100860 | SD | -- | |
| 5500860 | SD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Avera Queen Of Peace by the Centers for Medicare & Medicaid Services?
The Avera Queen Of Peace has been issued the NPI (National Provider Identifier) 1710155460 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
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 Critical Access, and the corresponding taxonomy code is 282Nc0060X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710155460 to Avera Queen Of Peace?
The Avera Queen Of Peace received its 1710155460 assignment from the Centers for Medicare & Medicaid Services on 2008-02-15.
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 2020-08-06.
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