AVERA QUEEN OF PEACE (NPI# 1992712921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992712921 |
| Entity Type | Organization |
| Organization Name | AVERA QUEEN OF PEACE |
| Other Organization Name | AVERA WESKOTA MEM MED CNTR |
| Practice Address |
609 1st St Ne Wessington Springs SD 57382-2136 |
| Practice Telephone | 6055391201 |
| Mailing Telephone | 6055391201 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | DOUGLAS EKEREN (PRESIDENT/CEO) |
| Authorized Official Telephone | 6056688321 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
2000994 | SD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4353859 | 01 |
| Other Name | Type Code |
|---|---|
| AVERA WESKOTA MEM MED CNTR | 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 |
| 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 |
| Street Address |
609 1ST ST NE |
| City | WESSINGTON SPRINGS |
| State | SD |
| Zip Code | 57382-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801271473 | Melanie Hinricher | Pharmacist | 202 E Main St, Wessington Springs, SD 57382 | 2015-07-24 |
| 1396158515 | Lewis Family Drug LLC | Pharmacy | 202 East Main St, Wessington Springs, SD 57382 | 2014-06-05 |
| 1407879570 | Joseph Francis Rex | Pharmacist | 202 East Main St, Wessington Springs, SD 57382-0327 | 2006-07-26 |
| 1346624772 | Stephanie Jungemann | Pharmacist | 202 E Main St, Wessington Springs, SD 57382-0327 | 2015-07-15 |
| 1720169725 | Rex Enterprises | Pharmacist | 202 East Main St, Wessington Springs, SD 57382-0327 | 2006-10-17 |
| 1811065618 | Weskota Manor, Inc. | Nursing Facility/Intermediate Care Facility | 608 1st St Ne, Wessington Springs, SD 57382-2134 | 2006-12-01 |
| 1013914209 | Lance S Lim | Family Medicine | 602 1st St Ne, Suite 1, Wessington Springs, SD 57382-2134 | 2005-07-01 |
| 1316942204 | Avera Queen of Peace | Clinic/Center | 604 1st St Ne, Wessington Springs, SD 57382-2134 | 2005-06-16 |
| 1154320547 | Kathryn R Dean | Advanced Practice Midwife | 602 1st St Ne, Wessington Springs, SD 57382-2134 | 2005-07-18 |
| 1952300345 | Thomas M Dean | Family Medicine | 602 1st St Ne, Wessington Springs, SD 57382-2134 | 2005-07-18 |
| Find all providers in zip 57382 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902930613 | State of South Dakota-division Of | Pharmacy | 2500 Minnekahta Ave, Hot Springs, SD 57747-1129 | 2007-03-15 |
| 1053510909 | Sanford Medical Center Pharmacy | Pharmacy | 1305 W 18th St, Sioux Falls, SD 57117-5039 | 2007-07-12 |
| 1154458453 | Black Hills Surgical Hospital, LLP | Pharmacy | 216 Anamaria Dr, Rapid City, SD 57701-7366 | 2007-02-27 |
| 1801959218 | Fall River Health Services | Pharmacy | 1201 Highway 71 S, Hot Springs, SD 57747-8800 | 2006-12-18 |
| City | WESSINGTON SPRINGS |
| Zip Code | 57382 |
Please comment or provide details below to improve the information on AVERA QUEEN OF PEACE.
| 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.