# AVERA QUEEN OF PEACE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AVERA QUEEN OF PEACE
- **Other names:** Avera Queen of Peace Swing Bed Program
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780689489
- **Legal business name:** AVERA QUEEN OF PEACE
- **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 |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 10552 | SD | Yes |

## Other

- **Enumeration date:** 06/17/2005
- **Last updated:** 08/20/2020