Avera Aberdeen Family Physicians
LBN: Avera St. Luke'S
Avera Aberdeen Family Physicians is an health care organization with primary practice located at 105 S State St Ste 113 , Aberdeen SD 57401-4502. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Avera St. Luke'S can be contacted via phone (605) 225-0378, or through Bjerknes, Daniel J via phone (605) 622-5125.
Contact Information
Primary practice address
105 S State St Ste 113
Aberdeen SD 57401-4502
Phone: (605) 225-0378
Fax: (605) 225-7919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 10525 | South Dakota |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1013143296 |
|---|---|
| LBN Legal business name | Avera St. Luke'S |
| DBA Doing business as | Avera Aberdeen Family Physicians |
| Authorized official | Bjerknes, Daniel J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 2nd, 2009 |
| Last updated | May 22nd, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013143296 | NPPES |
| North Dakota | MEDICAID | 1451164 | |
| North Dakota | MEDICAID | 1000187 | |
| North Dakota | Other | 9278116 |
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