NPI 1932105046

Avera Queen of Peace

Organisation Rural Health Clinic/Center Corsica, SD

Practice location

Address: 265 Main Street, Corsica, SD 57328
Phone: (605) 946-5411
Fax: (605) 946-5206
Mailing address: 525 N Foster St, Mitchell, SD 57301-2966

Authorised official

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

Registered specialties

Rural Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR1300X Licence N/A (SD)

Other Clinic/Center providers in South Dakota →

Registry record

NPI: 1932105046
Entity type: Organization
NPI issued: 23 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.