AVERA ST. LUKES NPI 1477594430

NPI Information

NPI: 1477594430
Provider Name: AVERA ST. LUKES

Doing Business As: AVERA MEDICAL GROUP NEPHROLOGY ABERDEEN

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
310 S PENNSYLVANIA ST STE 203
ABERDEEN, SD
ZIP 57401
Phone: (605) 622-2895
Get Directions

AVERA ST. LUKES is a nephrology internal medicine in Aberdeen, SD. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. AVERA ST. LUKES NPI is 1477594430. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group Nephrology Aberdeen.

The provider's business location address is:

310 S PENNSYLVANIA ST STE 203
ABERDEEN, SD
ZIP 57401-553
Phone: (605) 622-2895
Fax: (605) 622-2896

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 6/9/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology			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	9224778	OTHER	SOUTH DAKOTA	DAKOTACARE GROUP
2	13460	MEDICAID	NORTH 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: 4/28/2024

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