Organization · Type 2 NPI

Avera Queen of Peace

Radiology Clinic/Center · Mitchell, SD

NPI number 1801193453 Active

Practice location

1900 Grassland Dr
Mitchell, SD 57301-6205

Call (605) 995-7000 Map

Mailing address

525 N Foster St
Mitchell, SD 57301-2966

Specialties and licenses

Taxonomy	Code	License
Radiology Clinic/Center Primary	261QR0200X	None listed

Radiology Clinic/Center: Definition to come...

30 other providers at this address

NPI record

NPI: 1801193453
Entity type: Organization (Type 2)
Issued: Feb 17, 2011
Last updated: Aug 20, 2020
Status: Active

Other names

<unavail>
Avera Grassland Diagnostics · doing business as
Avera Grassland Diagnostics · 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 1801193453

Avera Queen of Peace's National Provider Identifier is 1801193453, issued on Feb 17, 2011. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Mitchell, SD. The record was last updated on Aug 20, 2020.