Avera Queen Of Peace in Mitchell - Parenteral & Enteral Nutrition

Avera Queen Of Peace - NPI 1033114731

Avera Queen Of Peace is a Parenteral & Enteral Nutrition in Mitchell, South Dakota. Avera Queen Of Peace practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Avera Queen Of Peace is 1033114731. The last update date is 2020-08-20.

Avera Queen Of Peace's current location address is 500 S Ohlman St, Mitchell, South Dakota. You can contact this provider via phone number 6059967701. The mailing address for Avera Queen Of Peace is 500 S Ohlman St, Mitchell, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Avera Queen Of Peace
Address 500 S Ohlman St, Mitchell, South Dakota
Phone Number 6059967701
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Ekeren Douglas
Telephone Number 6056688322

NPI Number Detail

NPI Number 1033114731
Provider Enumeration Date 2005-06-17
Last Updated Date 2020-08-20

Provider Mailing Address Detail

Address 500 S Ohlman St
City Mitchell
State South Dakota (SD)
Post Code 5730131090
Phone Number 6059967701
Fax Number

Provider's Primary Taxonomy Detail

Speciality Parenteral & Enteral Nutrition
Taxonomy 332Bp3500X
Definition:
Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers.

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FAQs about Avera Queen Of Peace

What is the unique identification 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) 1033114731. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Avera Queen Of Peace is geographically located?

The Avera Queen Of Peace is physically situated at the following location: 500 S Ohlman St, Mitchell, SD, 5730131090.

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 Parenteral & Enteral Nutrition, and the corresponding taxonomy code that categorizes this area of specialization is 332Bp3500X.

On what date did the Avera Queen Of Peace receive the assignment of its 1033114731 from the Centers for Medicare & Medicaid Services?

The Avera Queen Of Peace was issued its 1033114731 by the Centers for Medicare & Medicaid Services on 2005-06-17.

When was the information regarding Avera Queen Of Peace, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Avera Queen Of Peace, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-20.

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