Organization
AVERA QUEEN OF PEACE
Active
Parent organization
AVERA HEALTH
Other names
Avera Dermatology Mitchell, Avera Medical Group Dermatology Mitchell
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVERA HEALTH
Authorized official
HILARY R. ROCKWELL (REGIONAL PRESIDENT / CEO)
(605) 995-2200
Entity
Organization
Contact information
Practice address
1900 GRASSLAND DR, MITCHELL, SD 57301-6205
(605) 995-7000
(605) 995-7018
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-4933
(605) 504-9489
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S1639
MEDICARE PTAN
SD
Enumeration date
05/02/2016
Last updated
01/22/2026
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