MOBRIDGE FAMILY PRACTICE CLINIC – NPI #1639373756
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.

MOBRIDGE FAMILY PRACTICE CLINIC is a provider located in MOBRIDGE, SD. NPPES has assigned the NPI number 1639373756 to MOBRIDGE FAMILY PRACTICE CLINIC on June 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MOBRIDGE FAMILY PRACTICE CLINIC” 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 18 years ago on Jan 18, 2008. 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 MOBRIDGE FAMILY PRACTICE CLINIC below.

NPI Profile for
AVERA ST. LUKE'S

NPI Number
1639373756
Enumeration Date

(about 19 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): MOBRIDGE FAMILY PRACTICE CLINIC
Primary location
1400 10TH AVE W
MOBRIDGE, SD 57601-1246
Phone: (605) 845-7292 Fax: (605) 845-7812
Mailing address
PO BOX 710
MOBRIDGE, SD 57601-0710
Phone: (605) 845-7292 Fax: (605) 845-7812
Organization Subpart
No
Authorized Official
RON JACOBSON
CEO
Phone: (605) 622-5000
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)
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.