Avera St Luke's
NPI #1649221664 in Aberdeen, South Dakota
Provider Information
- NPI Number
- 1649221664
- Entity Type
- Organization
- Organization Name
- Avera St Luke's
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- May 15, 2006
- Last Updated
- Aug 18, 2022
Practice Location
- Address
- 305 S STATE ST
- City
- Aberdeen
- State
- South Dakota
- ZIP Code
- 57401-4527
- Phone
- (605) 622-5000
Authorized Official
- Name
- RONALD L JACOBSON
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (605) 622-5125
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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