Avera St Lukes
LBN: Avera St Lukes
Avera St Lukes is an health care organization with primary practice located at 305 S State St , Aberdeen SD 57401-4527. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Oxygen Equipment & Supplies, Suppliers / Institutional Pharmacy, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Oxygen Equipment & Supplies is 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
305 S State St
Aberdeen SD 57401-4527
Phone: (605) 622-5000
Fax: (605) 622-5255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X | 10525 | South Dakota |
| Suppliers / Institutional Pharmacy | 3336I0012X | 10525 | South Dakota |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | 10525 | South Dakota |
Profile Details
| NPI number | 1912011867 |
|---|---|
| LBN Legal business name | Avera St Lukes |
| DBA Doing business as | |
| Authorized official | Jacobson, Ronald L |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Oct 22nd, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912011867 | NPPES |
| South Dakota | MEDICAID | 9163240 |
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