Avera Medical Group Internal Medicine Aberdeen

LBN: Avera St. Luke'S
Avera Medical Group Internal Medicine Aberdeen is an health care organization with primary practice located at 105 S State St Ste 201 , Aberdeen SD 57401-4502. The organization recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Avera St. Luke'S can be contacted via phone (605) 622-5458, or through Bjerknes, Daniel J via phone (605) 622-5125.

Contact Information

Primary practice address
105 S State St Ste 201 Aberdeen SD 57401-4502
Phone: (605) 622-5458
Fax: (605) 622-5473
Website:
Map and Directions
Authorized official contact:
Name: Bjerknes, Daniel J
Phone: (605) 622-5125

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 10525 South Dakota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10525 South Dakota
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X

Profile Details

NPI number 1215100813
LBN Legal business name Avera St. Luke'S
DBA Doing business as Avera Medical Group Internal Medicine Aberdeen
Authorized official Bjerknes, Daniel J
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2008
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215100813 NPPES
North Dakota MEDICAID 14713
North Dakota Other 9257818

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