AVERA ST LUKES – NPI #1912011867
Durable Medical Equipment & Medical Supplies

AVERA ST LUKES is a DME supplier located in ABERDEEN, SD. NPPES has assigned the NPI number 1912011867 to AVERA ST LUKES on August 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 332BX2000X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies

The NPI profile was previously updated about 19 years ago on Oct 22, 2007. 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 ST LUKES below.

NPI Profile for
AVERA ST LUKES

NPI Number
1912011867
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 LUKES
Primary location
305 S STATE ST
ABERDEEN, SD 57401-4527
Phone: (605) 622-5000 Fax: (605) 622-5255
Mailing address
Same as primary location
Organization Subpart
Yes - AVERA ST LUKES is subpart of another organization.
Authorized Official
RONALD JACOBSON
CEO
Phone: (605) 622-5125
Updated
Identifiers

Identifiers for AVERA ST LUKES

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
MEDICAIDSD9163240
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
332BX2000X
- Durable Medical Equipment & Medical Supplies / Oxygen Equipment & Supplies (Primary)		 SD 10525
335E00000X
- Prosthetic/Orthotic Supplier		 SD 10525
3336I0012X
- Pharmacy / Institutional Pharmacy		 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.