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Avera Queen Of Peace

Physician Assistant

PATRICK CLARK
NPI: 1053557967De Smet, South Dakota, 57231(605) 854-3834

About Avera Queen Of Peace

Avera Queen Of Peace is a healthcare organization providing Physician Assistant services, registered under National Provider Identifier (NPI) number 1053557967. The authorized official for Avera Queen Of Peace is PATRICK CLARK.

The organization is headquartered at 115 SECOND ST SE, De Smet, South Dakota 57231. The main office can be reached at (605) 854-3834. Avera Queen Of Peace has been NPI-registered since 2008.

Locations & Contact

Primary Location

Address
115 SECOND ST SE
City
De Smet
State
South Dakota
ZIP
57231-0463
Phone
(605) 854-3834
Fax
(605) 854-3878
View on Google Maps

Authorized Official

Name
PATRICK CLARK

Mailing Address

Address
525 N FOSTER ST
City
MITCHELL
State
SD
ZIP
573012966

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Physician Assistant
Classification
Physician Assistant
Taxonomy Code
363A00000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Avera Queen Of Peace's NPI number?
Avera Queen Of Peace's National Provider Identifier (NPI) is 1053557967. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Avera Queen Of Peace specialize in?
Avera Queen Of Peace specializes in Physician Assistant.
Where is Avera Queen Of Peace located?
Avera Queen Of Peace practices at 115 SECOND ST SE, De Smet, South Dakota 57231. You can reach them by phone at (605) 854-3834.
Does Avera Queen Of Peace accept Medicare?
Based on available data, Avera Queen Of Peace is not currently enrolled in the Medicare program.
Does Avera Queen Of Peace offer telehealth or virtual visits?
Avera Queen Of Peace does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Avera Queen Of Peace holds NPI 1053557967, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.