Avera Medical Group Groton

LBN: Avera St Luke'S
Avera Medical Group Groton is an health care organization with primary practice located at 8 E Us Highway 12 , Groton SD 57445-2176. 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) 397-4242, or through Bjerknes, Daniel J via phone (605) 622-5125.

Contact Information

Primary practice address
8 E Us Highway 12 Groton SD 57445-2176
Fax: (605) 397-4243
Website:
Authorized official contact:
Name: Bjerknes, Daniel J

Health care specialties

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

Profile Details

NPI number 1306031976
LBN Legal business name Avera St Luke'S
DBA Doing business as Avera Medical Group Groton
Authorized official Bjerknes, Daniel J
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2007
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 1306031976 NPPES
South Dakota Other 9250989 DAKOTACARE

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