Avera St Lukes

LBN: Avera St Lukes
Avera St Lukes is an health care organization with primary practice located at 305 S State St , Aberdeen SD 57401-4527. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Oxygen Equipment & Supplies, Suppliers / Institutional Pharmacy, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Oxygen Equipment & Supplies is the primary health care specialty. Avera St Lukes can be contacted via phone (605) 622-5000, or through Jacobson, Ronald L via phone (605) 622-5125.

Contact Information

Primary practice address
305 S State St Aberdeen SD 57401-4527
Phone: (605) 622-5000
Fax: (605) 622-5255
Website:
Map and Directions
Authorized official contact:
Name: Jacobson, Ronald L
Phone: (605) 622-5125

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Oxygen Equipment & Supplies 332BX2000X 10525 South Dakota
Suppliers / Institutional Pharmacy 3336I0012X 10525 South Dakota
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 10525 South Dakota

Profile Details

NPI number 1912011867
LBN Legal business name Avera St Lukes
DBA Doing business as
Authorized official Jacobson, Ronald L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 18th, 2006
Last updated Oct 22nd, 2007 - about 19 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 1912011867 NPPES
South Dakota MEDICAID 9163240

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