AVERA ST LUKE'S NPI 1124502646

NPI Information

  • NPI: 1124502646
  • Provider Name: AVERA ST LUKE'S
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • Doing Business As: AVERA ST LUKES HOSPITAL
  • Address: 305 S STATE ST
    ABERDEEN, SD
    ZIP 57401
  • Phone: (605) 622-5100

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NPI Details

AVERA ST LUKE'S is an emergency medicine in Aberdeen, SD. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. AVERA ST LUKE'S NPI is 1124502646. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Avera St Lukes Hospital.

The provider's business location address is:

305 S STATE ST
ABERDEEN, SD
ZIP 57401-527
Phone: (605) 622-5100
Fax: (605) 622-4030

The provider's authorized official is Daniel J Bjerknes .
The authorized official title is President/ceo and has the following contact phone number (605) 622-5125.

The enumeration date for this NPI number is 9/20/2018 and was last updated on 8/18/2022.

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
1207P00000XEmergency MedicineYes

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
1S101808OTHERSOUTH DAKOTAMEDICARE

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: 3/30/2025

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