Avera Queen of Peace
Avera Queen of Peace is a healthcare organization registered as Prosthetic/Orthotic Supplier in Mitchell, SD, holding Type 2 (organization) NPI 1710184569 since 2007. The authorized official on file is Douglas Ekeren, President/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710184569 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Queen of Peace |
| Other name | <Unavail> |
| Practice address | 625 N FOSTER ST, SUITE 200, Mitchell, SD, 57301 |
| Phone | 6059963963 |
| Fax | 6059960718 |
| Enumeration date | 2007-06-27 |
| Last updated in NPPES | 2020-08-20 |
Authorized official
| Name | Douglas Ekeren |
|---|---|
| Title | President/Ceo |
| Phone | 6056688322 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | Primary | 100-1023 | SD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0100130 | Medicaid | SD | — |
Copy-ready billing details
Provider: Avera Queen of Peace NPI: 1710184569 Taxonomy: 335E00000X (Prosthetic/Orthotic Supplier) Address: 625 N FOSTER ST, SUITE 200, Mitchell, SD, 57301
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205800570 | Elizabeth Campbell | Individual | Obstetrics & Gynecology Physician | Mitchell, SD |
| 1508870619 | Chris Krouse | Individual | Orthopaedic Surgery Physician | Mitchell, SD |
| 1497762595 | Orthopedic Associates PC | Organization | Orthopaedic Surgery Physician | Mitchell, SD |
| 1922111244 | Brian Hildebrandt | Individual | Athletic Trainer | Mitchell, SD |
| 1962598029 | Mitchell Bone and Joint Surgery | Organization | Orthopaedic Surgery Physician | Mitchell, SD |
| 1558450254 | William Graham | Individual | Facial Plastic Surgery Physician | Mitchell, SD |
| 1801014956 | Brian Kampmann | Individual | Orthopaedic Surgery Physician | Mitchell, SD |
| 1417136193 | Dakota Family Practice | Organization | Durable Medical Equipment & Medical Supplies | Mitchell, SD |
Verify this record
Cross-check NPI 1710184569 against the authoritative CMS record: view Avera Queen of Peace on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Avera Queen of Peace located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-20.