# AVERA QUEEN OF PEACE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avera Queen of Peace Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154324507
- **Authorized official:** DOUGLAS EKEREN (PRESIDENT/CEO)
- **Authorized official phone:** (605) 668-8322

## Contact information

- **Practice address:** 525 N FOSTER ST, MITCHELL, SD 57301-2966
- **Practice address phone:** (605) 995-2000
- **Practice address fax:** (605) 995-2441
- **Mailing address:** 525 N FOSTER ST, MITCHELL, SD 57301-2966
- **Mailing address phone:** (605) 995-2000
- **Mailing address fax:** (605) 995-2441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 282NR1301X | Rural Acute Care Hospital | 10552 | SD | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 08/20/2020