Avera Medical Group Ipswich

LBN: Avera St. Luke'S
Avera Medical Group Ipswich is an health care organization with primary practice located at 501 Bloemendaal Drive , Ipswich SD 57451. 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) 622-2857, or through Forkel, Todd via phone (605) 622-5125.

Contact Information

Primary practice address
501 Bloemendaal Drive Ipswich SD 57451
Phone: (605) 622-2857
Fax: (605) 622-2859
Website:
Map and Directions
Authorized official contact:
Name: Forkel, Todd
Phone: (605) 622-5125

Health care specialties

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

Profile Details

NPI number 1558624668
LBN Legal business name Avera St. Luke'S
DBA Doing business as Avera Medical Group Ipswich
Authorized official Forkel, Todd
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2012
Last updated Jun 22nd, 2012 - about 13 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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