Marshall County Medical Clinic Avera

LBN: Avera St. Luke'S
Marshall County Medical Clinic Avera is an health care organization with primary practice located at 415 9Th St , Britton SD 57430-2274. 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) 448-5953, or through Jacobson, Ron L via phone (605) 622-5125.

Contact Information

Primary practice address
415 9Th St Britton SD 57430-2274
Fax: (605) 448-2304
Website:
Authorized official contact:
Name: Jacobson, Ron L

Health care specialties

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

Profile Details

NPI number 1659438828
LBN Legal business name Avera St. Luke'S
DBA Doing business as Marshall County Medical Clinic Avera
Authorized official Jacobson, Ron L
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Dec 7th, 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 1659438828 NPPES
Other 9172758 DAKOTACARE
MEDICAID 13974 DAKOTACARE

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