Organization Name: | AVERA QUEEN OF PEACE |
NPI Number: | 1154324507 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM FLETT (VICE PRESIDENT AND CFO) |
Mailing Address: | 525 N Foster St Mitchell |
State: | SD US |
Postal Code: | 573012966 |
Phone Number: | 6059952000 |
Fax Number: | 6059952441 |
NPI Enumeration Date: | 05/31/2005 |
NPI Last Update Date: | 03/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 10552 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |