AVERA QUEEN OF PEACE


Address: 525 N Foster St, Mitchell, SD 57301-2966
Phone: 6059952000

AVERA QUEEN OF PEACE (NPI# 1780689489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780689489
Entity Type Organization
Organization Name AVERA QUEEN OF PEACE
Other Organization Name AVERA QUEEN OF PEACE SWING BED PROGRAM
Practice Address 525 N Foster St
Mitchell
SD 57301-2966
Practice Telephone 6059952000
Practice Fax Number 6059952441
Mailing Telephone 6059952000
Mailing Fax Number 6059952441
Enumeration Date 2005-06-17
Last Update Date 2020-08-20
Authorized Official Name DOUGLAS EKEREN (PRESIDENT/CEO)
Authorized Official Telephone 6056688322
Is Organization Subpart Y
Parent Organization Name AVERA QUEEN OF PEACE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 275N00000X Medicare Defined Swing Bed Unit 10552 SD Hospital Units

Other Provider/Organization Names

Other Name Type Code
Avera Queen of Peace Swing Bed Program Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 525 N FOSTER ST
City MITCHELL
State SD
Zip Code 57301-2966

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154324507 Avera Queen of Peace Emergency Medicine 525 N Foster St, Mitchell, SD 57301-2966 2005-05-31
1831752393 Avera Queen of Peace Preventive Medicine 525 N Foster St, Mitchell, SD 57301-2966 2019-04-19
1609358035 Rachel Dykstra Nurse Practitioner 525 N Foster St, Mitchell, SD 57301-2999 2018-09-01
1598241820 Sarah Lynne Bauer Nurse Practitioner 525 N Foster St, Mitchell, SD 57301-2999 2018-07-19
1053827634 Avera Queen of Peace Radiology 525 N Foster St, Mitchell, SD 57301-2966 2017-12-19
1821504515 Mollie Jo Loes Dietitian, Registered 525 N Foster St, Mitchell, SD 57301-2966 2017-12-18
1669987137 Karen Faye Klinkner Dietitian, Registered 525 N Foster St, Mitchell, SD 57301-2966 2017-12-06
1295240786 Katherine Caroline Thomsen Dietitian, Registered 525 N Foster St, Mitchell, SD 57301-2966 2017-12-06
1205359031 Avera Queen of Peace Hospitalist 525 N Foster St, Mitchell, SD 57301-2966 2017-07-24
1669822946 Jenna Bortnem Physical Therapist 525 N Foster St, Mitchell, SD 57301-2966 2016-06-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932721388 Dakota Counseling Institute Social Worker 910 W Havens, Mitchell, SD 57301 2020-05-08
1215588512 Carolyn Marie Klinkhammer Registered Nurse 525 North Foster - Avera Queen of Peace Hospital, Mitchell, SD 57301 2019-09-27
1720596893 Brian Bannwarth Pharmacist 25147 Campground Road, Mitchell, SD 57301 2018-01-11
1336664135 Haley Long Speech-Language Pathologist 200 East Havens, Mitchell, SD 57301 2017-08-14
1770004996 Edgewood Mitchell LLC Assisted Living Facility 501 East Spruce Street, Mitchell, SD 57301 2017-06-28
1467831685 Amanda Louise Johnson Physical Therapist 910 S Edgerton, Mitchell, SD 57301 2015-05-20
1922432830 Melissa Jill Maier Dentist 240 E 23 Ave, Mitchell, SD 57301 2013-08-27
1356626972 Lewis Family Drug, LLC Pharmacy 1507 N Main St, Mitchell, SD 57301 2011-10-14
1184945958 Kimberly L Lienemann Counselor 403 N Lawler St, Mitchell, SD 57301 2010-06-16
1134365554 Gronsten-maier Dental Prof. LLC Dentist 240 E. 23rd Avenue, Mitchell, SD 57301 2009-01-07
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Taxonomy Information

Taxonomy Code 275N00000X
Grouping Hospital Units
Classification Medicare Defined Swing Bed Unit

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
1255500534 Avera Queen of Peace Medicare Defined Swing Bed Unit 306 Prairie Ave Sw, De Smet, SD 57231-2285 2008-02-21
1679635239 Huron Regional Medical Center Medicare Defined Swing Bed Unit 306 Prairie Ave Sw, De Smet, SD 57231-2285 2006-12-13
1407918063 Huron Regional Medical Center, Inc Medicare Defined Swing Bed Unit 172 4th St Se, Huron, SD 57350-2510 2006-12-13
Find all providers with the same taxonomy

Competitor

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City MITCHELL
Zip Code 57301

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Dataset Information

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.

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