NPI

Avera Queen of Peace

Doing business as Avera Brady Assisted Living. NPI 1497750384

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2005-06-16
Last updated
2020-08-20

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Specialties

Licenses

License SD
41972

Location

Practice location
1414 W Cedar Ave
City
Mitchell SD
Postal code
57301-3868
Phone
(605) 996-7702

Organization contact

Name
Douglas Ekeren
Title
President/CEO
Phone
(605) 668-8322

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Mitchell, SD. 533 records in the public file.

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