Avera Medical Group Nephrology Aberdeen

LBN: Avera St. Lukes
Avera Medical Group Nephrology Aberdeen is an health care organization with primary practice located at 310 S Penn St Ste 203 , Aberdeen SD 57401-4553. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Avera St. Lukes can be contacted via phone (605) 622-2895, or through Bjerknes, Daniel J via phone (605) 622-5125.

Contact Information

Primary practice address
310 S Penn St Ste 203 Aberdeen SD 57401-4553
Fax: (605) 622-2896
Website:
Authorized official contact:
Name: Bjerknes, Daniel J

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1477594430
LBN Legal business name Avera St. Lukes
DBA Doing business as Avera Medical Group Nephrology Aberdeen
Authorized official Bjerknes, Daniel J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated May 22nd, 2024 - about last year

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 1477594430 NPPES
North Dakota MEDICAID 13460
North Dakota Other 9224778

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