Mobridge Family Practice Clinic

LBN: Avera St. Luke'S
Mobridge Family Practice Clinic is an health care organization with primary practice located at 1400 10Th Ave W , Mobridge SD 57601-1246. 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) 845-7292, or through Jacobson, Ron L via phone (605) 622-5000.

Contact Information

Primary practice address
1400 10Th Ave W Mobridge SD 57601-1246
Phone: (605) 845-7292
Fax: (605) 845-7812
Website:
Map and Directions
Authorized official contact:
Name: Jacobson, Ron L
Phone: (605) 622-5000

Health care specialties

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

Profile Details

NPI number 1639373756
LBN Legal business name Avera St. Luke'S
DBA Doing business as Mobridge Family Practice Clinic
Authorized official Jacobson, Ron L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2007
Last updated Jan 18th, 2008 - about 16 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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