AVERA MEDICAL GROUP SALEM
NPI 1619201829
Clinic/Center - Rural Health in Salem, SD

Q: What is Avera Queen Of Peace's NPI number?

The NPI number for Avera Queen Of Peace is 1619201829. It was assigned to this organization in the NPPES registry on September 22, 2009. The provider is doing business as Avera Medical Group Salem.

Q: What is Avera Queen Of Peace's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since September 22, 2009

741 S HILL ST, SALEM, SD 57058(605) 425-3038(605) 425-3039 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Avera Medical Group Salem NPPES

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

AVERA MEDICAL GROUP SALEM (NPI 1619201829) is a healthcare organization registered as a rural health in Salem, South Dakota and active in the NPI registry since September 2009. The organization lists Douglas Ekeren, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1619201829

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameAVERA QUEEN OF PEACE

Location Address741 S HILL STSalem, SD 57058-8761

Mailing Address525 N Foster StMitchell, SD 57301-2966 · (605) 995-2000 · Fax (605) 995-2441

Phone(605) 425-3038

Fax(605) 425-3039

Organization SubpartNo

Authorized OfficialDouglas EkerenPresident/ceo · (605) 668-8322

Enumeration DateSeptember 22, 2009

Last NPPES UpdateAugust 20, 2020

NPPES CertifiedAugust 20, 2020

✔ NPI 1619201829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in SD · NA

741 S HILL ST, Salem, SD 57058

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Other Names 1

Doing Business AsAvera Medical Group Salem

Other Identifiers 5

Medicaid5307012SD

OtherS1639SD · Medicare Part B

Other00-00592SD · Medica

OtherCR0890SD · Medicare Railroad

Other4991003SD · Wellmark

Other Providers at the Same Location NPPES

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

AVERA QUEEN OF PEACE

Clinic/Center (Rural Health)

741 S HILL ST
SALEM, SD 57058

McCook County (605) 425-3038

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 1619201829. It was assigned to this organization in the NPPES registry on September 22, 2009. The provider is doing business as Avera Medical Group Salem.

Where is Avera Queen Of Peace located?

Avera Queen Of Peace is located at 741 S Hill St, Salem, SD 57058. The listed phone number is (605) 425-3038.

What is Avera Queen Of Peace's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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 5 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.