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AVERA BRADY DME SUPPLIER
NPI 1033114731
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Mitchell, SD

Active since June 17, 2005
500 S OHLMAN ST, MITCHELL, SD 57301(605) 996-7701 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Avera Brady Dme Supplier NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA BRADY DME SUPPLIER (NPI 1033114731) is a healthcare organization registered as a parenteral & enteral nutrition in Mitchell, South Dakota and active in the NPI registry since June 2005. The organization lists Douglas Ekeren, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1033114731
Entity TypeOrganization
Primary Taxonomy332BP3500X
Legal Business NameAVERA QUEEN OF PEACE
Location Address500 S OHLMAN STMitchell, SD 57301-3109
Mailing Address525 N Foster StMitchell, SD 57301-2966 · (605) 995-2000
Phone(605) 996-7701
Organization SubpartYes
Authorized OfficialDouglas EkerenPresident/ceo · (605) 668-8322
Enumeration DateJune 17, 2005
Last NPPES UpdateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
✔ NPI 1033114731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionSuppliers
Taxonomy Code332BP3500X
License✔ Licensed in SD · N/A
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 10652 (SD)
500 S OHLMAN ST, Mitchell, SD 57301
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Other Names 1

Doing Business AsAvera Brady Dme Supplier

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANN GIRARD PT
Physical Therapist
500 S OHLMAN ST
MITCHELL, SD 57301
Davison County (605) 995-6477
AVERA QUEEN OF PEACE
Skilled Nursing Facility
500 S OHLMAN ST
MITCHELL, SD 57301
Davison County (605) 996-7701
MEGAN CHRISTINE BOSMA DPT, ATC
Physical Therapist
500 S OHLMAN ST
MITCHELL, SD 57301
Davison County (605) 996-7701
LAURA JOYCE DAVIS MA, CCC-SLP
Speech-Language Pathologist
500 S OHLMAN ST
MITCHELL, SD 57301
Davison County (605) 996-7701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera Queen Of Peace's NPI number?

The NPI number for Avera Queen Of Peace is 1033114731. It was assigned to this organization in the NPPES registry on June 17, 2005. The provider is doing business as Avera Brady Dme Supplier.

Where is Avera Queen Of Peace located?

Avera Queen Of Peace is located at 500 S Ohlman St, Mitchell, SD 57301. The listed phone number is (605) 996-7701.

What is Avera Queen Of Peace's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Parenteral & Enteral Nutrition, with taxonomy code 332BP3500X.

When was this NPI record last updated?

The NPPES record for Avera Queen Of Peace was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.