OrganizationActive
Avera Queen of Peace
NPI 1033114731 · Parenteral & Enteral Nutrition Supplies (DME) · Mitchell, SD
Provider details
- NPI number
- 1033114731
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Parent organization
- Avera Queen of Peace
- Organization subpart
- Yes
- Authorized official
- Douglas Ekeren, President/Ceo(605) 668-8322
- License
- 10652 (SD)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 S Ohlman St
Mitchell, SD 57301-3109
Phone: (605) 996-7701
Street-level locationGet directions
Mailing address
525 N Foster St
Mitchell, SD 57301-2966
Other names (DBA / former)
- Doing business as
- Avera Brady Dme Supplier
- Doing business as
- Avera Brady Dme Supplier
Registry dates
- Enumerated
- 2005-06-17
- Last updated
- 2020-08-20
- Certified
- 2020-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.