AVERA QUEEN OF PEACE (NPI# 1255500534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255500534 |
| Entity Type | Organization |
| Organization Name | AVERA QUEEN OF PEACE |
| Other Organization Name | AVERA DE SMET MEMORIAL HOSPITAL |
| Practice Address |
306 Prairie Ave Sw De Smet SD 57231-2285 |
| Mailing Address |
525 N Foster St Mitchell SD 57301-2966 |
| Practice Telephone | 6058543329 |
| Practice Fax Number | 6058543161 |
| Mailing Telephone | 6059952000 |
| Mailing Fax Number | 6059952441 |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | DOUGLAS EKEREN (PRESIDENT/CEO) |
| Authorized Official Telephone | 6056688322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 50726 | SD | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0159360 | 05 |
| Other Name | Type Code |
|---|---|
| Avera De Smet Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568986040 | Avera Queen of Peace | Internal Medicine | 605 N Foster St Ste 100, Mitchell, SD 57301-2902 | 2017-07-27 |
| 1689051682 | Avera Queen of Peace | Clinic/Center | 409 S Ohlman St, Mitchell, SD 57301-3106 | 2015-04-29 |
| 1649577297 | Avera Queen of Peace | Clinic/Center | 1900 Grassland Dr., Mitchell, SD 57301-6205 | 2011-02-17 |
| 1053557967 | Avera Queen of Peace | Physician Assistant | 115 Second St Se, De Smet, SD 57231-0463 | 2008-12-23 |
| 1699972422 | Avera Queen of Peace | Specialist | 625 N Foster St Ste 200, Mitchell, SD 57301-2968 | 2007-06-27 |
| 1992712921 | Avera Queen of Peace | Pharmacy | 609 1st St Ne, Wessington Springs, SD 57382-2136 | 2006-08-02 |
| 1932105046 | Avera Queen of Peace | Clinic/Center | 265 Main Street, Corsica, SD 57328 | 2005-06-23 |
| 1326043092 | Avera Queen of Peace | Clinic/Center | 213 South Main, Howard, SD 57349 | 2005-06-17 |
| 1316942204 | Avera Queen of Peace | Clinic/Center | 604 1st St Ne, Wessington Springs, SD 57382-2134 | 2005-06-16 |
| 1639174568 | Avera Queen of Peace | Clinic/Center | 741 S Hill St, Salem, SD 57058-8761 | 2005-06-16 |
| Street Address |
306 PRAIRIE AVE SW |
| City | DE SMET |
| State | SD |
| Zip Code | 57231-2285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841271186 | Huron Regional Medical Center | General Acute Care Hospital | 306 Prairie Ave Sw, De Smet, SD 57231-2285 | 2005-11-11 |
| 1710155460 | Avera Queen of Peace | General Acute Care Hospital | 306 Prairie Ave Sw, De Smet, SD 57231-2285 | 2008-02-15 |
| 1679635239 | Huron Regional Medical Center | Medicare Defined Swing Bed Unit | 306 Prairie Ave Sw, De Smet, SD 57231-2285 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043855158 | Bonita Marie Albrecht | Physical Therapy Assistant | 411 Calumet Ave Ne, De Smet, SD 57231 | 2019-11-12 |
| 1114265253 | Kelsey Lynn Mccune | Physical Therapy Assistant | 50 7th Street, Huron, SD 57231 | 2013-01-24 |
| 1659503233 | Shinamerica | Durable Medical Equipment & Medical Supplies | 710 4th Street, De Smet, SD 57231 | 2009-08-17 |
| 1871770859 | De Smet School District | Local Education Agency (LEA) | 405 3rd St., De Smet, SD 57231 | 2008-01-22 |
| 1679618987 | Susan Jane Nilsen | Pharmacist | 201 Calumet Ave, Desmet, SD 57231 | 2007-02-21 |
| 1760527014 | Buchele Drug | Pharmacy | 201 Caulmet Ave, Desmet, SD 57231 | 2007-02-21 |
| 1235282179 | David J Dobson | Chiropractor | 102 1st St. Nw, De Smet, SD 57231 | 2007-01-22 |
| 1912011941 | Horizon Health Care Inc | Clinic/Center | 801 3rd Street Sw, Desmet, SD 57231 | 2006-08-18 |
| 1457321226 | John Andrew Berg | Family Medicine | 221 Calumet Ave Sw, Desmet, SD 57231 | 2006-01-25 |
| 1376538462 | Gregory Duane Tuttle | Dentist | 801 3rd St. Sw, Desmet, SD 57231 | 2005-09-14 |
| Find all providers in zip 57231 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679635239 | Huron Regional Medical Center | Medicare Defined Swing Bed Unit | 306 Prairie Ave Sw, De Smet, SD 57231-2285 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992713457 | Avera St Marys | Medicare Defined Swing Bed Unit | 801 East Sioux Ave, Pierre, SD 57501-3323 | 2006-08-03 |
| 1265467245 | Pioneer Memorial Hospital & Health Services | Medicare Defined Swing Bed Unit | 315 N Washington Street, Viborg, SD 57070-0368 | 2006-07-11 |
| 1205803160 | Monument Health Network, Inc. | Medicare Defined Swing Bed Unit | 1220 Montgomery St, Custer, SD 57730-1705 | 2006-02-28 |
| 1861466898 | Monument Health Network, Inc. | Medicare Defined Swing Bed Unit | 1440 N Main St, Spearfish, SD 57783-1505 | 2006-02-15 |
| 1144292244 | City of Redfield | Medicare Defined Swing Bed Unit | 111 West 10th Ave, Redfield, SD 57469-1519 | 2006-02-02 |
| 1417215740 | Avera Mckennan | Medicare Defined Swing Bed Unit | 400 Park Ave, Gregory, SD 57533-1302 | 2012-04-24 |
| 1366611402 | Avera Mckennan | Medicare Defined Swing Bed Unit | 300 W 5th St, Miller, SD 57362-1238 | 2008-02-22 |
| 1407918063 | Huron Regional Medical Center, Inc | Medicare Defined Swing Bed Unit | 172 4th St Se, Huron, SD 57350-2510 | 2006-12-13 |
| 1881754497 | Avera Gettysburg | Medicare Defined Swing Bed Unit | 606 E Garfield Ave, Gettysburg, SD 57442-1325 | 2006-12-12 |
| 1265502686 | Coteau Des Prairies Hospital | Medicare Defined Swing Bed Unit | 205 Orchard Drive, Sisseton, SD 57262-2398 | 2006-11-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.