Avera Nano Nagle Village

LBN: Avera St Luke'S
Avera Nano Nagle Village is an health care organization with primary practice located at 1002 N Jay St , Aberdeen SD 57401-2439. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Avera St Luke'S can be contacted via phone (605) 622-5847, or through Moeller, Tess via phone (605) 622-2870.

Contact Information

Primary practice address
1002 N Jay St Aberdeen SD 57401-2439
Phone: (605) 622-5847
Fax: (605) 622-5255
Website:
Map and Directions
Authorized official contact:
Name: Moeller, Tess
Phone: (605) 622-2870

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 41969 South Dakota

Profile Details

NPI number 1124163225
LBN Legal business name Avera St Luke'S
DBA Doing business as Avera Nano Nagle Village
Authorized official Moeller, Tess
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Jul 15th, 2022 - about 2 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 1124163225 NPPES
South Dakota MEDICAID 9572350

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