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Avera Queen of Peace

Organization Active NPI Hospitalist Physician · Mitchell, SD

NPI 1205359031 · NPPES record last updated Jan 22, 2026

Key facts

NPI
1205359031
Entity type
Organization (NPI type 2)
Primary specialty
Hospitalist Physician 208M00000X
Legal business name
AVERA QUEEN OF PEACE
Practice address
525 N Foster St
Mitchell, SD 57301-2966
Phone
(605) 995-2000
Fax
(605) 995-5683
NPI assigned
Jul 24, 2017
Organization subpart
Yes
Parent organization (as reported)
AVERA HEALTH

Authorized official

Name
Hilary R. Rockwell
Title
Regional President / Ceo
Phone
(605) 995-2200

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 31

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 31

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Practitioners 256

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 256

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avera Weskota Memorial Medical Center
Wessington Springs, SD · CCN 43Z324		 Hospital Operational/Managerial Control Jun 1, 2000

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031229000301 SD Part B Supplier - Clinic/Group Practice 9335050806 Receives reassigned benefits from 252 practitioners
31 other NPIs on this enrollment
Practice locations: Mitchell, SD; Parkston, SD; Pierre, SD; Platte, SD; Sioux Falls, SD; Wagner, SD; Wessington Springs, SD; Yankton, SD…

National Provider Directory

Tax ID family
ER Phy (29 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208M00000X Yes

Addresses

Primary practice location

525 N Foster St
Mitchell, SD 57301-2966

Mailing address

PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-4933

Other identifiers

IdentifierTypeStateIssuer
S1639OtherSDMEDICARE PIN

Other names

  • AMG Hospitalists Mitchell Doing business as
  • Avera Hospitalists Mitchell Doing business as

Other providers in Mitchell, SD

All providers in Mitchell, SD · Hospitalist Physician in South Dakota

Sources for this page

Verify at the official NPI Registry.