AVERA MEDICAL GROUP SELBY – NPI #1154346625
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

AVERA MEDICAL GROUP SELBY is a provider located in SELBY, SD. NPPES has assigned the NPI number 1154346625 to AVERA MEDICAL GROUP SELBY on July 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA MEDICAL GROUP SELBY” is a dba name, the actual legal business name for this organization is AVERA ST. LUKE'S. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Apr 02, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERA MEDICAL GROUP SELBY below.

NPI Profile for
AVERA ST. LUKE'S

NPI Number
1154346625
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVERA ST. LUKE'S
Doing Business As (dba): AVERA MEDICAL GROUP SELBY
Primary location
4401 MAIN ST
SELBY, SD 57472
Phone: (605) 649-9999 Fax: (605) 946-9987
Mailing address
PO BOX 1460
ABERDEEN, SD 57402-1460
Phone: (605) 622-2857 Fax: (605) 622-2859
Organization Subpart
No
Authorized Official
DEBBIE STREIER
VICE PRESIDENT
Phone: (605) 622-2807
Updated
Certification Date
Apr 02, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AVERA MEDICAL GROUP SELBY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERWELLMARK BC/BS OF SDSD6153
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 SD 10525

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.