Organization
AVERA QUEEN OF PEACE
Active
Organization
AVERA QUEEN OF PEACE
Active
Other names
Avera Grassland Diagnostics
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
525 N FOSTER ST, MITCHELL, SD 57301-2966
(605) 995-2000
(605) 995-2441
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
63654
SD
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649577297
—
SD
Enumeration date
02/17/2011
Last updated
08/20/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up