Organization · Type 2 NPI

Avera Queen of Peace

Rural Health Clinic/Center · Corsica, SD

NPI number 1932105046 Active

Practice location

265 Main Street
Corsica, SD 57328

Call (605) 946-5411 Map

Fax (605) 946-5206

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...

2 other providers at this address

Other rural health clinic/center providers in Corsica

Douglas County Memorial HospitalRural Health Clinic/Center Corsica, SD NPI 1003879958
Avera Queen of PeaceRural Health Clinic/Center Corsica, SD NPI 1952635492

See all in Corsica →

NPI record

NPI: 1932105046
Entity type: Organization (Type 2)
Issued: Jun 23, 2005
Last updated: Aug 20, 2020
Status: Active

Other names

<unavail>
Avera Medical Group Corsica · doing business as
Avera Medical Group Corsica · 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 1932105046

Avera Queen of Peace's National Provider Identifier is 1932105046, issued on Jun 23, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Corsica, SD. The record was last updated on Aug 20, 2020.