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Organization

AVERA QUEEN OF PEACE

Active
Parent organization
AVERA QUEEN OF PEACE
Other names
Avera Queen of Peace Hospital
Organization subpart
Yes

Provider details

NPI number
Legal business name
AVERA QUEEN OF PEACE
Authorized official
DOUGLAS EKEREN (PRESIDENT/CEO)
(605) 668-8321
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
100-1023
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0100130
SD
Enumeration date
03/14/2006
Last updated
07/15/2022
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