Avera Queen of Peace
NPI 1144225129ActiveOrganization· Skilled Nursing Facility· Mitchell, SD
Skilled Nursing Facility in Mitchell, South Dakota, registered in NPPES in June 2005, part of Avera Queen of Peace. The authorized official on file is Douglas Ekeren, President/Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1144225129 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Avera Queen of Peace |
| NPI issued | Jun 16, 2005 |
| Last updated in NPPES | Aug 20, 2020 |
| Certified by provider | Aug 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 10652 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (SD) |
|---|
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