Avera Queen of Peace
Avera Queen of Peace is a healthcare organization registered as Medicare Defined Swing Bed Hospital Unit in Mitchell, SD, holding Type 2 (organization) NPI 1780689489 since 2005. The authorized official on file is Douglas Ekeren, President/Ceo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1780689489 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Queen of Peace |
| Other name | <Unavail> |
| Parent organization | Avera Queen of Peace |
| Practice address | 525 N FOSTER ST, Mitchell, SD, 57301 |
| Phone | 6059952000 |
| Fax | 6059952441 |
| Enumeration date | 2005-06-17 |
| 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 |
|---|---|---|---|---|
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | Primary | 10552 | SD |
Copy-ready billing details
Provider: Avera Queen of Peace NPI: 1780689489 Taxonomy: 275N00000X (Medicare Defined Swing Bed Hospital Unit) Address: 525 N FOSTER ST, Mitchell, SD, 57301
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1154324507 | Avera Queen of Peace | Organization | Rural Acute Care Hospital | Mitchell, SD |
| 1851396550 | Avera Queen of Peace | Organization | Durable Medical Equipment & Medical Supplies | Mitchell, SD |
| 1740286285 | Kim Lorenzen | Individual | Anatomic Pathology & Clinical Pathology Physician | Mitchell, SD |
| 1215927355 | Mark Doohen | Individual | Family Medicine Physician | Mitchell, SD |
| 1124005269 | Campus Pharmacy | Organization | Pharmacist | Mitchell, SD |
| 1437139268 | Ed Higgins | Individual | Certified Registered Nurse Anesthetist | Mitchell, SD |
| 1750361598 | Kim Rubendall | Individual | Certified Registered Nurse Anesthetist | Mitchell, SD |
| 1114907979 | Penny Petersen | Individual | Nurse Practitioner | Mitchell, SD |
Verify this record
Cross-check NPI 1780689489 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
Who is the authorized official for Avera Queen of Peace?
What is the NPI number for Avera Queen of Peace?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-20.