Organization
AVERA QUEEN OF PEACE
Active
Other names
AveraNow
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS EKEREN (PRESIDENT/CEO)
(605) 668-8322
Entity
Organization
Contact information
Practice address
1900 GRASSLAND DR, MITCHELL, SD 57301-6205
(605) 995-7000
Mailing address
PO BOX 432, MITCHELL, SD 57301-0432
(605) 995-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002248
—
SD
Enumeration date
05/23/2011
Last updated
08/20/2020
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