AVERA ST LUKES NPI 1831504711

NPI Information

NPI: 1831504711
Provider Name: AVERA ST LUKES

Doing Business As: AVERA SURGICAL ASSOCIATES

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
310 S PENN ST
STE 201
ABERDEEN, SD
ZIP 57401
Phone: (605) 229-1367
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AVERA ST LUKES is an ambulatory surgical clinic center in Aberdeen, SD. AVERA ST LUKES NPI is 1831504711. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Surgical Associates.

The provider's business location address is:

310 S PENN ST
STE 201
ABERDEEN, SD
ZIP 57401
Phone: (605) 229-1367
Fax: (605) 229-1002

The provider's authorized official is Debbie Streier .
The authorized official title is Vice President and has the following contact phone number (605) 622-2807.

The enumeration date for this NPI number is 6/30/2014 and was last updated on 4/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	10525	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S101808	OTHER	SOUTH DAKOTA	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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