Avera Medical Group Orthopedics Aberdeen

LBN: Avera St. Luke'S
Avera Medical Group Orthopedics Aberdeen is an health care organization with primary practice located at 815 1St Ave Se , Aberdeen SD 57401-4602. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Avera St. Luke'S can be contacted via phone (605) 622-2570, or through Jacobson, Ron L via phone (605) 622-5230.

Contact Information

Primary practice address
815 1St Ave Se Aberdeen SD 57401-4602
Phone: (605) 622-2570
Fax: (605) 622-2571
Website:
Map and Directions
Authorized official contact:
Name: Jacobson, Ron L
Phone: (605) 622-5230

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 10525 South Dakota

Profile Details

NPI number 1528255775
LBN Legal business name Avera St. Luke'S
DBA Doing business as Avera Medical Group Orthopedics Aberdeen
Authorized official Jacobson, Ron L
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2007
Last updated Jun 15th, 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 1528255775 NPPES
South Dakota Other 9251368 DAKOTACARE
South Dakota MEDICAID 14555 DAKOTACARE

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