Aberdeen Internal Medicine

LBN: Avera St. Luke'S
Aberdeen Internal Medicine is an health care organization with primary practice located at 201 S Lloyd St Suite W270, Aberdeen SD 57401-4552. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Avera St. Luke'S can be contacted via phone (605) 225-4070, or through Jacobson, Ron L via phone (605) 622-5125.

Contact Information

Primary practice address
201 S Lloyd St Suite W270 Aberdeen SD 57401-4552
Phone: (605) 225-4070
Fax: (605) 725-2416
Website:
Map and Directions
Authorized official contact:
Name: Jacobson, Ron L
Phone: (605) 622-5125

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10525 South Dakota

Profile Details

NPI number 1477750289
LBN Legal business name Avera St. Luke'S
DBA Doing business as Aberdeen Internal Medicine
Authorized official Jacobson, Ron L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2007
Last updated Jun 30th, 2011 - about 14 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 1477750289 NPPES
South Dakota Other 9251433 DAKOTACARE
South Dakota MEDICAID 14389 DAKOTACARE

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