Avera Medical Group Pediatrics Aberdeen

LBN: Avera St. Luke'S
Avera Medical Group Pediatrics Aberdeen is an health care organization with primary practice located at 201 S Lloyd St E205, Aberdeen SD 57401-4552. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Avera St. Luke'S can be contacted via phone (605) 622-4050, or through Forkel, Todd via phone (605) 622-5125.

Contact Information

Primary practice address
201 S Lloyd St E205 Aberdeen SD 57401-4552
Phone: (605) 622-4050
Fax: (605) 622-4049
Website:
Map and Directions
Authorized official contact:
Name: Forkel, Todd
Phone: (605) 622-5125

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10525 South Dakota

Profile Details

NPI number 1245275189
LBN Legal business name Avera St. Luke'S
DBA Doing business as Avera Medical Group Pediatrics Aberdeen
Authorized official Forkel, Todd
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Feb 12th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245275189 NPPES
South Dakota Other 9237225 DAKOTACARE
South Dakota MEDICAID 14000 DAKOTACARE
South Dakota Other 4993532 DAKOTACARE

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