Avera Medical Group Selby

LBN: Avera St. Luke'S
Avera Medical Group Selby is an health care organization with primary practice located at 4401 Main St , Selby SD 57472. 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) 649-9999, or through Streier, Debbie via phone (605) 622-2807.

Contact Information

Primary practice address
4401 Main St Selby SD 57472
Phone: (605) 649-9999
Fax: (605) 946-9987
Website:
Map and Directions
Authorized official contact:
Name: Streier, Debbie
Phone: (605) 622-2807

Health care specialties

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

Profile Details

NPI number 1154346625
LBN Legal business name Avera St. Luke'S
DBA Doing business as Avera Medical Group Selby
Authorized official Streier, Debbie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Apr 2nd, 2020 - about 5 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 1154346625 NPPES
South Dakota Other 6153 WELLMARK BC/BS OF SD

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