Avera Mother Joseph Manor

LBN: Avera St Lukes
Avera Mother Joseph Manor is an health care organization with primary practice located at 1002 N Jay St , Aberdeen SD 57401-2439. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Avera St Lukes can be contacted via phone (605) 622-5000, or through Jacobson, Ronald L via phone (605) 622-5125.

Contact Information

Primary practice address
1002 N Jay St Aberdeen SD 57401-2439
Phone: (605) 622-5000
Fax: (605) 622-5255
Website:
Map and Directions
Authorized official contact:
Name: Jacobson, Ronald L
Phone: (605) 622-5125

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 10590 South Dakota

Profile Details

NPI number 1386693430
LBN Legal business name Avera St Lukes
DBA Doing business as Avera Mother Joseph Manor
Authorized official Jacobson, Ronald L
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1386693430 NPPES
South Dakota MEDICAID 0151162

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