Avera Medical Group Cardiovascular Specialsts Aberdeen
LBN: Avera St. Luke'S
Avera Medical Group Cardiovascular Specialsts Aberdeen is an health care organization with primary practice located at 310 S Penn St Ste 202 , Aberdeen SD 57401-4553. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty.
Avera St. Luke'S can be contacted via phone (605) 622-2573, or through Bjerknes, Daniel J via phone (605) 622-5125.
Contact Information
Primary practice address
310 S Penn St Ste 202
Aberdeen SD 57401-4553
Phone: (605) 622-2573
Fax: (605) 622-2574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 10525 | South Dakota |
Profile Details
| NPI number | 1437346681 |
|---|---|
| LBN Legal business name | Avera St. Luke'S |
| DBA Doing business as | Avera Medical Group Cardiovascular Specialsts Aberdeen |
| Authorized official | Bjerknes, Daniel J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 2nd, 2007 |
| Last updated | May 22nd, 2024 - about 4 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437346681 | NPPES |
| South Dakota | MEDICAID | 1005229 | |
| South Dakota | Other | 9253548 | |
| South Dakota | MEDICAID | 1451186 |
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