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
Primary
—
—
Other
Enumeration date
02/17/2011
Last updated
08/20/2020
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