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Organization

AVERA QUEEN OF PEACE

Active
Other names
AVERA QUEEN OF PEACE HOME MEDICAL EQUIPMENT
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS EKEREN (PRESIDENT/CEO)
(605) 668-8322
Entity
Organization

Contact information

Practice address
525 N FOSTER ST, MITCHELL, SD 57301-2966
(605) 995-2460
(605) 995-5672
Mailing address
525 N FOSTER ST, MITCHELL, SD 57301-2966
(605) 995-2460
(605) 995-5672

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
100-1023
SD
333600000X
Pharmacy
100-1023
SD

Other

Enumeration date
06/17/2005
Last updated
08/20/2020
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