Organization · Type 2 NPI

Avera Queen of Peace

Rural Health Clinic/Center · Salem, SD

NPI number 1639174568 Active

Practice location

741 S Hill St
Salem, SD 57058-8761

Call (605) 425-3038 Map

Fax (605) 425-3039

Mailing address

525 N Foster St
Mitchell, SD 57301-2966

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	N/A (SD)

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Avera Queen of PeaceRural Health Clinic/Center Salem, SD NPI 1619201829

Other rural health clinic/center providers in Salem

Avera Queen of PeaceRural Health Clinic/Center Salem, SD NPI 1619201829

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NPI record

NPI: 1639174568
Entity type: Organization (Type 2)
Issued: Jun 16, 2005
Last updated: Aug 20, 2020
Status: Active

Other names

<unavail>
Avera Medical Group Salem · doing business as
Avera Medical Group Salem · doing business as

Authorized official

Douglas Ekeren
President/ceo
(605) 668-8322

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639174568

Avera Queen of Peace's National Provider Identifier is 1639174568, issued on Jun 16, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Salem, SD. The record was last updated on Aug 20, 2020.