Avera St. Luke'S Fastcare Shopko

LBN: Avera St. Luke'S
Avera St. Luke'S Fastcare Shopko is an health care organization with primary practice located at 500 N Highway 281 , Aberdeen SD 57401-1821. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Avera St. Luke'S can be contacted via phone (605) 622-2856, or through Jacobson, Ron L via phone (605) 622-5125.

Contact Information

Primary practice address
500 N Highway 281 Aberdeen SD 57401-1821
Phone: (605) 622-2856
Fax: (605) 622-5963
Website:
Map and Directions
Authorized official contact:
Name: Jacobson, Ron L
Phone: (605) 622-5125

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10525 South Dakota

Profile Details

NPI number 1871728501
LBN Legal business name Avera St. Luke'S
DBA Doing business as Avera St. Luke'S Fastcare Shopko
Authorized official Jacobson, Ron L
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2009
Last updated Jun 29th, 2011 - about 14 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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