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Avera Queen of Peace

NPI 1780689489ActiveOrganization· Medicare Defined Swing Bed Unit· Mitchell, SD

Medicare Defined Swing Bed Unit 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.

Overview

NPI1780689489
StatusActive
Entity typeOrganization (subpart)
Parent organizationAvera Queen of Peace
NPI issuedJun 17, 2005
Last updated in NPPESAug 20, 2020
Certified by providerAug 20, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Medicare Defined Swing Bed Unit Primary275N00000X10552SD

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Medicare Defined Swing Bed Unit providers in Mitchell

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