AVERA QUEEN OF PEACE


Address: 1900 Grassland Dr., Mitchell, SD 57301-6205
Phone: 6059957000

AVERA QUEEN OF PEACE (NPI# 1649577297) 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) 1649577297
Entity Type Organization
Organization Name AVERA QUEEN OF PEACE
Other Organization Name AVERA GRASSLAND DIAGNOSTICS
Practice Address 1900 Grassland Dr.
Mitchell
SD 57301-6205
Mailing Address 525 N Foster St
Mitchell
SD 57301-2966
Practice Telephone 6059957000
Mailing Telephone 6059952000
Mailing Fax Number 6059952441
Enumeration Date 2011-02-17
Last Update Date 2020-08-20
Authorized Official Name DOUGLAS EKEREN (PRESIDENT/CEO)
Authorized Official Telephone 6056688322
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0200X Clinic/Center
Specialization: Radiology
63654 SD Ambulatory Health Care Facilities
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
SD 1649577297 05

Other Provider/Organization Names

Other Name Type Code
Avera Grassland Diagnostics 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
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
1144225129 Avera Queen of Peace Skilled Nursing Facility 500 S Ohlman St, Mitchell, SD 57301-3109 2005-06-16

Office Location

Street Address 1900 GRASSLAND DR.
City MITCHELL
State SD
Zip Code 57301-6205

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 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366544769 Mga Lab Inc Clinical Medical Laboratory 1115 East 5th, Mitchell, SD 57301-1003 2006-09-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548434889 Scsa Diagnostics, Inc. Clinical Medical Laboratory 807 32nd Ave, Brookings, SD 57006-4716 2008-04-17
1134302177 City of Sioux Falls Clinical Medical Laboratory 521 N. Main Ave., Suite 100, Sioux Falls, SD 57104-5947 2007-12-13
1790906451 Jeanine Rae Dodson Clinical Medical Laboratory 927 5th St, So. #5, Brookings, SD 57006-3349 2007-05-01
1124133236 Siouxland Pathology Clinical Medical Laboratory 350 W Anchor Dr, Suite 200, Dakota Dunes, SD 57049-5335 2006-08-20
1861429110 State of South Dakota Division of Oasi Clinical Medical Laboratory 615 E 4th St, Pierre, SD 57501-1700 2006-06-26
1326024720 Laboratory Corporation of America Clinical Medical Laboratory 713 Omaha St, Rapid City, SD 57701-2761 2005-12-16
1184626962 Huron Clinic Foundation Ltd Clinical Medical Laboratory 111 4th St Se, Huron, SD 57350-2509 2005-08-11
1528627361 Avera Mckennan Clinical Medical Laboratory 3720 W 69th St, Sioux Falls, SD 57108-8192 2019-06-06
1417428434 Rapid City Regional Hospital, Inc. Clinical Medical Laboratory 1635 Caregiver Circle, Rapid City, SD 57702-8529 2018-12-17
1326523754 Regional Health Network, Inc. Clinical Medical Laboratory 2140 Junction Ave, Sturgis, SD 57785-2358 2018-10-02
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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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