Organization
AVERA QUEEN OF PEACE
Active
Other names
Avera Weskota Memorial Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS EKEREN (PRESIDENT/CEO)
(605) 668-8322
Entity
Organization
Contact information
Practice address
604 1ST ST NE, WESSINGTON SPRINGS, SD 57382-2166
(605) 539-4590
(605) 539-4580
Mailing address
525 N FOSTER ST, MITCHELL, SD 57301-2966
(605) 995-2000
(605) 995-2441
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9550300
—
SD
Enumeration date
02/11/2009
Last updated
08/20/2020
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