NPIMap

Organization Active NPI

Avera Queen of Peace

Doing business as Avera Weskota Memorial Medical Center

  • Critical Access Hospital
  • Wessington Springs, SD
National Provider Identifier
1316942204
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
AVERA QUEEN OF PEACE
Doing business as
Avera Weskota Memorial Medical Center
Practice address
604 1St St NE
Wessington Springs, SD 57382-2134
Phone
(605) 539-1201
Fax
(605) 539-4580
NPI assigned
Jun 16, 2005
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
AVERA QUEEN OF PEACEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hilary RockwellNPI 1841312873
Title
President/Ceo
Phone
(605) 995-2250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X 48209 SD
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

604 1St St NE
Wessington Springs, SD 57382-2134

Mailing address

522 N Foster St
Mitchell, SD 57301-3040
Phone (605) 995-2000

Other identifiers 1

IdentifierTypeStateIssuer
0100592MedicaidSD

Other names 1

  • Avera Weskota Memorial Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

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
This NPI is an additional NPI on the enrollment
Practice locations: Mitchell, SD; Parkston, SD; Pierre, SD; Platte, SD; Sioux Falls, SD; Wagner, SD; Wessington Springs, SD; Yankton, SD…
O20061104000605 SD Part A Provider - Critical Access Hospital 9335050806 Receives reassigned benefits from 15 practitioners
Practice locations: Wessington Springs, SD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316942204. Details of each certification follow.

Hospital certification: CCN 431324

Legal name
AVERA QUEEN OF PEACE
Doing business as
AVERA WESKOTA MEMORIAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2001
Last certification
Nov 20, 2024
Beds
16
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 1, 1908 in SD
Enrollment address
604 1St St NE
Wessington Springs, SD 57382-2166
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 11

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

Other NPIs on the same Medicare enrollment 31

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

View all 31

Care Compare: Hospital

Medicare Care Compare
Listed as
Avera Weskota Memorial Medical Center - CahCCN 431324 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Queen of Peace Hosp29 organizations share this tax ID, including this one
Part of
Queen of Peace Hosp

Other organizations with this tax ID 28

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

View all 28

Locations

1000 18th St SW
Ste 32
Huron, SD 57350
Phone (605) 554-1500

1900 Grassland Dr
Mitchell, SD 57301
Phone (605) 655-1220

1900 Grassland Dr
Ste 101
Mitchell, SD 57301
Phone (605) 995-5670

1900 Grassland Dr
Ste 104
Mitchell, SD 57301
Phone (605) 996-8712

2100 N Kimball St
Mitchell, SD 57301
Phone (605) 996-7513

2200 N Kimball St
Mitchell, SD 57301
Phone (605) 996-1216

2200 N Kimball St
#200
Mitchell, SD 57301
Phone (605) 996-8989

2200 N Kimball St
#400
Mitchell, SD 57301
Phone (605) 996-7900

2200 N Kimball St
#600
Mitchell, SD 57301
Phone (605) 996-2031

2200 N Kimball St
Ste 200
Mitchell, SD 57301
Phone (605) 996-8989

2200 N Kimball St
Ste 950
Mitchell, SD 57301
Phone (605) 996-8989

818 W Havens Ave
Ste 800
Mitchell, SD 57301
Phone (605) 996-7526

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Francis Dover Individual Corporate OfficerFache, President/Ceo Avera Health Oct 23, 2023
Trevor Dierks Individual Corporate DirectorBoard Member Jul 1, 2023
Brad Zomer Individual Corporate DirectorBoard Member Jul 1, 2018
Diane Sandhoff Individual Corporate DirectorBoard Member Jul 1, 2023
Fredel Thomas Individual Corporate DirectorBoard Member Jul 1, 2024
Ryan Thompson Individual Corporate DirectorBoard Member Jul 1, 2018
Joyce Feteral Individual Corporate DirectorBoard Member Jul 1, 2024
Amanda Marie Schutz Individual Corporate OfficerOfficer Billing Services Jun 18, 2018
Vicky Larson Individual Corporate DirectorBoard Member Jul 1, 2024
Jennifer L Tegethoff Individual Corporate DirectorBoard Member Jul 1, 2022
Julie Lautt Individual Corporate OfficerCfo Mar 1, 2020
Hilary Rae Rockwell Individual Corporate OfficerPresident/Ceo Jul 1, 2023
Operational/Managerial Control Jul 1, 2023
Mark Puetz Individual Corporate DirectorBoard Member Jul 1, 2023
Avera Health Organization, Sioux Falls, SD Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2000 100%
Operational/Managerial Control Jun 1, 2000
Darlene Bergeleen Individual Corporate DirectorBoard Member Jul 1, 2022
Jessica a Claussen Individual Corporate DirectorBoard Member Jul 1, 2022
Mark Hunhoff Individual Corporate DirectorBoard Member Jul 1, 2019
Nicole Stahle Individual Corporate DirectorBoard Member Jul 1, 2023

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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 CenterWessington Springs, SD, CCN 43Z324 Hospital Operational/Managerial Control Jun 1, 2000

Owned or controlled facilities with NPI records 1

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

  • Avera Queen of Peace

    dba Avera Weskota Memorial Medical Center Swing Bed Program

    • Medicare Defined Swing Bed Hospital Unit
    • Wessington Springs, SD
    • NPI 1942205646

    Operational/Managerial Control

    CMS ownership

Facilities with the same owner 90

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 90

Practitioners & affiliated clinicians

Practitioners 254

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 254

Affiliated clinicians 22

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1316942204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N FOSTER ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573013040",
            "telephone_number": "605-995-2000",
            "fax_number": "605-995-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 1ST ST NE",
            "city": "WESSINGTON SPRINGS",
            "state": "SD",
            "postal_code": "573822134",
            "telephone_number": "605-539-1201",
            "fax_number": "605-539-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA QUEEN OF PEACE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVERA QUEEN OF PEACE",
        "enumeration_date": "2005-06-16",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "ROCKWELL",
        "authorized_official_first_name": "HILARY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "605-995-2250"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "SD",
            "license": "48209",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100592",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Weskota Memorial Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Weskota Memorial Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wessington Springs, SD

Sources for this page

Verify at the official NPI Registry.