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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215100813 | NPPES |
| North Dakota | MEDICAID | 14713 | |
| North Dakota | Other | 9257818 |
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