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AVERA ST. LUKE'S NPI 1013143296


NPI Information

NPI: 1013143296
Provider Name: AVERA ST. LUKE'S

Doing Business As: AVERA ABERDEEN FAMILY PHYSICIANS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 43D0881133

Address:
105 S STATE ST STE 113
ABERDEEN, SD
ZIP 57401
Phone: (605) 225-0378
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AVERA ST. LUKE'S is a family medicine in Aberdeen, SD. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. AVERA ST. LUKE'S NPI is 1013143296. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Avera Aberdeen Family Physicians.

The provider's business location address is:

105 S STATE ST STE 113
ABERDEEN, SD
ZIP 57401-502
Phone: (605) 225-0378
Fax: (605) 225-7919

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

The CLIA number assigned to this NPI record is 43D0881133 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/2/2009 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine10525SOUTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19278116OTHERDAKOTACARE
210643MEDICAIDNORTH DAKOTA

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

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