AVERA ST LUKES (NPI# 1912011867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912011867 |
| Entity Type | Organization |
| Organization Name | AVERA ST LUKES |
| Practice Address |
305 S State St Aberdeen SD 57401-4527 |
| Practice Telephone | 6056225000 |
| Practice Fax Number | 6056225255 |
| Mailing Telephone | 6056225000 |
| Mailing Fax Number | 6056225255 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-10-22 |
| Authorized Official Name | RONALD L JACOBSON (CEO) |
| Authorized Official Telephone | 6056225125 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | 10525 | SD | Suppliers |
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
10525 | SD | Suppliers |
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
10525 | SD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9163240 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932203015 | Avera St Lukes | Internal Medicine | 201 S Lloyd St Ste W240, Aberdeen, SD 57401-4530 | 2006-09-11 |
| 1174548937 | Avera St Lukes | Radiology | 1400 10th Ave W, Mobridge, SD 57601-1246 | 2006-07-13 |
| 1386693430 | Avera St Lukes | Skilled Nursing Facility | 1002 N Jay St, Aberdeen, SD 57401-2439 | 2006-05-08 |
| 1831504711 | Avera St Lukes | Clinic/Center | 310 S Penn St, Ste 201, Aberdeen, SD 57401 | 2014-06-30 |
| 1780004713 | Avera St Lukes | Radiology | 310 S Penn St, Suite 105, Aberdeen, SD 57401 | 2014-04-17 |
| 1386738102 | Avera St Lukes | Pharmacy | 305 S State St, Aberdeen, SD 57401-4527 | 2006-10-03 |
| 1760423057 | Avera St Lukes | Clinic/Center | 240 Main St, Ellendale, ND 58436 | 2006-06-09 |
| 1013968940 | Avera St Lukes | Medicare Defined Swing Bed Unit | 305 S State St, Aberdeen, SD 57401-4527 | 2006-05-15 |
| 1003867029 | Avera St Lukes | Psychiatric Hospital | 305 S State St, Aberdeen, SD 57401-4527 | 2006-05-15 |
| 1649221664 | Avera St Lukes | Clinic/Center | 305 S State St, Aberdeen, SD 57401-4527 | 2006-05-15 |
| Street Address |
305 S STATE ST |
| City | ABERDEEN |
| State | SD |
| Zip Code | 57401-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789543 | Russell C Pietz | Family Medicine | 305 S State St, Aberdeen, SD 57401-4527 | 2005-06-09 |
| 1942824701 | Stacy Lynn Anderson | Pharmacist | 305 S State St, Aberdeen, SD 57401-4527 | 2020-06-07 |
| 1124502646 | Avera St Luke's | Emergency Medicine | 305 S State St, Aberdeen, SD 57401-4527 | 2018-09-20 |
| 1689150252 | Kim Susanne Kram | Specialist/Technologist | 305 S State St, Aberdeen, SD 57401-4527 | 2018-07-17 |
| 1144769522 | Gerhard Marx | Social Worker | 305 S State St, Aberdeen, SD 57401-4527 | 2017-02-17 |
| 1851771133 | Susan Gutenkauf | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-06-02 |
| 1538548649 | Melanie C Erickson | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-21 |
| 1639557184 | Carrie Ann Werth | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-15 |
| 1861870404 | Buckley D Norris | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-15 |
| 1285012005 | Jason Stolp | Physical Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
| 1104366475 | Jordan Shangreaux | Specialist/Technologist | 2200 S Roosevelt St, Aberdeen, SD 57401 | 2017-03-06 |
| 1205387545 | Midwest Medical Transport Company, LLC-aberdeen, Sd | Ambulance | 2919 Industrial Avenue, Aberdeen, SD 57401 | 2016-10-21 |
| 1356752471 | Cameron Eichler Enterprises | Hearing Aid Equipment | 110 6th Ave Se Ste 106, Aberdeen, SD 57401 | 2014-05-12 |
| 1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
| 1427395540 | Matthew William Svensen | Physical Therapist | 1109 S Jay St, Aberdeen, SD 57401 | 2013-01-09 |
| 1750655940 | Robert Ashly Froke | Audiologist | 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 | 2012-03-06 |
| 1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
| 1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
| 1558554626 | Tiffany Zimmerman Hoeft | Speech-Language Pathologist | 39515 Pintail Ave, Aberdeen, SD 57401 | 2007-08-22 |
| Find all providers in zip 57401 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720496912 | Olympia Respiratory Services LLC | Durable Medical Equipment & Medical Supplies | 954 Anderson Dr Ste 109, Aberdeen, WA 98520-1001 | 2014-07-31 |
| 1417031659 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 191 Ridgeline Dr, Aberdeen, NC 28315-8616 | 2006-10-24 |
| 1922103845 | Family Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 1680 Nc Highway 5 Ste 160, Aberdeen, NC 28315-8001 | 2006-09-14 |
| 1780618090 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 722 W 2nd St, Aberdeen, WA 98520-4803 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609325182 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 720 N Weber Ave, Sioux Falls, SD 57103-7006 | 2016-09-26 |
| 1356637615 | Complete Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 6709 S Minnesota Avenue, Suite 105, Sioux Falls, SD 57108-2593 | 2011-06-24 |
| 1376622381 | Werner Home Medical Care, Inc. | Durable Medical Equipment & Medical Supplies | 415 E Kemp, Watertown, SD 57201-3720 | 2006-11-02 |
| 1104936699 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 3703 N Cliff Ave, Sioux Falls, SD 57104-0851 | 2006-08-30 |
Please comment or provide details below to improve the information on AVERA ST LUKES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.