Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162) — for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1124308010
Avera Queen Of Peace
Organization Subpart: YES
Active
NPI Number1124308010
NPI TypeNPI-2 Organization
SpecialtyFamily Medicine
Provider Details
NPI1124308010
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2011-08-23
Last Updated2026-01-22
Authorized OfficialHilary Rockwell
Regional President/CEO
Phone: 6059952250
Mailing AddressPo Box 86370
Sioux Falls, SD 57118-6370
United States
Phone: (605) 322-4933 | Fax: (605) 504-9489
📍 View Map
Primary Practice Address1900 Grassland Dr
Mitchell, SD 57301-6205
United States
Phone: (605) 995-7000 | Fax: (605) 995-7052
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family Medicine
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About NPI 1124308010

Avera Queen Of Peace is an organization registered in the CMS NPPES NPI Registry with NPI number 1124308010. The primary specialty listed is Family Medicine. The organization is located in Mitchell, SD. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-08-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124308010?

NPI 1124308010 belongs to Avera Queen Of Peace, a Family Medicine in Mitchell, SD. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124308010 active?

The current status of NPI 1124308010 in the NPPES registry is Active. The record was last updated on 2026-01-22.

What specialty is NPI 1124308010?

NPI 1124308010 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124308010?

You can verify NPI 1124308010 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124308010?

The primary practice address on file for NPI 1124308010 is 1900 Grassland Dr, Mitchell, SD 57301-6205. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124308010 issued?

NPI 1124308010 was first issued (enumerated) on 2011-08-23. The NPPES record was last updated on 2026-01-22.

Practice Location Map

Avera Queen Of Peace is located at 1900 Grassland Dr, Mitchell, SD. Use the map below to find directions or verify the practice location.

📍 1900 Grassland Dr, Mitchell, SD 57301-6205  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Avera Queen Of Peace. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162