| Organization Name: | AVERA QUEEN OF PEACE |
| NPI Number: | 1326043092 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM E FLETT (VICE PRESIDENT AND CFO) |
| Mailing Address: | 213 South Main Howard |
| State: | SD US |
| Postal Code: | 57349 |
| Phone Number: | 6057724426 |
| Fax Number: | 6057724261 |
| NPI Enumeration Date: | 06/17/2005 |
| NPI Last Update Date: | 07/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | N/A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |