Avera Queen Of Peace in Mitchell - Rural
Avera Queen Of Peace - NPI 1154324507
Avera Queen Of Peace is a Rural in Mitchell, South Dakota. Avera Queen Of Peace practices all healthcare services and medical treatments related to Rural. The NPI Number for Avera Queen Of Peace is 1154324507. 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 | 1154324507 |
|---|---|
| Provider Enumeration Date | 2005-05-31 |
| 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 |
|---|---|
| Taxonomy | 282Nr1301X |
| Licence No | 10552 |
|
Definition: Provides comprehensive inpatient medical and surgical care in rural areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CR0890 | SD | RR MEDICARE | |
| 100130 | SD | -- | |
| 5500130 | SD | MEDICAID OUTPATIENT |
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) 1154324507. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Avera Queen Of Peace located?
The Avera Queen Of Peace is located at 525 N Foster St, Mitchell, SD 5730129660.
What is the Avera Queen Of Peace's specialty and taxonomy code?
The Avera Queen Of Peace's specialty is Rural, and the corresponding taxonomy code is 282Nr1301X.
When did Avera Queen Of Peace receive its 1154324507 assignment?
The Avera Queen Of Peace was assigned its 1154324507 on 2005-05-31, which is the date when this unique identifier was issued to the organization.
When was the information regarding Avera Queen Of Peace most recently updated?
The details pertaining to the Avera Queen Of Peace, including its address, specialty, and other relevant information, were last refreshed on 2020-08-20.