AVERA ST. LUKE'S NPI 1881824977

NPI Information

AVERA ST. LUKE'S is a neurology psychiatry neurology in Aberdeen, SD. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. AVERA ST. LUKE'S NPI is 1881824977. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group Neurology Aberdeen.

The provider's business location address is:

201 S LLOYD ST
SUITE E202
ABERDEEN, SD
ZIP 57401-552
Phone: (605) 622-2605
Fax: (605) 622-2606

The provider's authorized official is Todd Forkel .
The authorized official title is President & Ceo and has the following contact phone number (602) 622-5125.

The CLIA number assigned to this NPI record is 43D0407595 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/23/2009 and was last updated on 3/31/2016.

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:

Other Identifiers

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

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.