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NPI · 1053557967 · NPPES-sourced

Avera Queen Of Peace

ActivePhysician Assistant
NPI Number
1053557967
Type 2 · Organisation
Taxonomy Code
363A00000X
Contact
(605) 854-3834
License SD · 0232SD
Last Updated
Enumerated
Primary practice addressSD · 57231-0463
115 Second St SeDe Smet, SD 57231-0463
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About this NPIWhat this record shows.

NPI 1053557967 is registered to Avera Queen Of Peace, a healthcare organisation classified as "Physician Assistant" and located at 115 Second St Se in De Smet, South Dakota. The organisation's authorised official is Patrick Clark. The organisation has been enumerated in the NPI registry since 2008.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Avera Queen Of Peace accepts. To confirm in-network status with your specific health plan, contact Avera Queen Of Peace directly at (605) 854-3834.

Frequently asked

Yes. NPI 1053557967 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (605) 854-3834.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Avera Queen Of Peace is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
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