Whalio Doctors

NPI 1851396550

Avera Queen of Peace

Organisation Durable Medical Equipment & Medical Supplies Mitchell, SD

Practice location

Address
525 N Foster St, Mitchell, SD 57301-2966
Phone
(605) 995-2460
Fax
(605) 995-5672

Authorised official

Name
Douglas Ekeren
Title
President/Ceo
Phone
(605) 668-8322

Registered specialties (2)

Durable Medical Equipment & Medical Supplies Primary
Suppliers Taxonomy 332B00000X Licence 100-1023 (SD)
Pharmacy
Suppliers Taxonomy 333600000X Licence 100-1023 (SD)

Registry record

NPI
1851396550
Entity type
Organization
NPI issued
17 Jun 2005
Record last updated
20 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.