AVERA MEDICAL GROUP IPSWICH – NPI #1558624668
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.

AVERA MEDICAL GROUP IPSWICH is a provider located in IPSWICH, SD. NPPES has assigned the NPI number 1558624668 to AVERA MEDICAL GROUP IPSWICH on June 22, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA MEDICAL GROUP IPSWICH” 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.

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 IPSWICH below.

NPI Profile for
AVERA ST. LUKE'S

NPI Number
1558624668
Enumeration Date

(about 14 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 IPSWICH
Primary location
501 BLOEMENDAAL DRIVE
IPSWICH, SD 57451
Phone: (605) 622-2857 Fax: (605) 622-2859
Mailing address
PO BOX 1460
ABERDEEN, SD 57402-1460
Phone: (605) 622-2857 Fax: (605) 622-2859
Organization Subpart
No
Authorized Official
TODD FORKEL
PRESIDENT AND CEO
Phone: (605) 622-5125
Updated
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)

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.