Avera St. Luke’s is an orthopedic surgery with a current address of 815 1st Ave Se Aberdeen SD 57401-4602. The NPI is 1528255775, and the license number is 10525 (SD). It was issued on február 10, 2007. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an organization, and the NPI number was last updated on 06/15/2011.
Avera St. Luke’s can be reached by phone at 6056222570, by mail at Po Box 1460 Aberdeen SD 57402-1460, or by fax at 6056222571.
Ron Jacobson (Ceo And President) is the authorized representative of the organization and can be reached at this phone number: 6056225230.
Name: Avera St. Luke’s
Specialization: Orthopedic Surgery
Provider Entity Type: Organization
Is Organization Subpart: No
Authorized Name: Ron Jacobson
Authorized Title/Position: Ceo And President
Contact Number: 6056225230
Practice Location Address:
815 1st Ave Se
Telephone Number: 6056222570
Fax Number: 6056222571
Po Box 1460
Telephone Number: 6056222857
Fax Number: 6056222859
NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.
NPI Number: 1528255775
Enumeration Date: február 10, 2007
Last Update: 06/15/2011
The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.
Primary Taxonomy Code: 207X00000X
License Number: 10525
License State: SD
Taxonomy Group: 193400000x Single Specialty Group
Other Taxonomy (if any):
Providers may hold one or more medical licenses in the same state or in different states for different specialties.
Code Type: 5
Identifier State: ND
Other Identifiers (if any):