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AVERA ST. LUKE'S NPI 1437192721


NPI Information

NPI: 1437192721
Provider Name: AVERA ST. LUKE'S

Doing Business As: AVERA MEDICAL GROUP RADIOLOGY ABERDEEN

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
305 S STATE ST
ABERDEEN, SD
ZIP 57401
Phone: (605) 622-5540
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AVERA ST. LUKE'S is a diagnostic radiology radiology in Aberdeen, SD. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. AVERA ST. LUKE'S NPI is 1437192721. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group Radiology Aberdeen.

The provider's business location address is:

305 S STATE ST
ABERDEEN, SD
ZIP 57401
Phone: (605) 622-5540
Fax: (605) 622-5217

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 6/14/2006 and was last updated on 4/20/2023.


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
12085R0202XRadiologyDiagnostic Radiology0385SOUTH 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
110525OTHERSOUTH DAKOTASD DEPT FO HEALTH HOSPITAL LICENSE

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.