Avera St. Luke's, NPI 1245275189
Pediatrics Physician in Aberdeen, SD, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1245275189 |
| NPI Entity Type | Organization |
| Provider Name |
Avera St. Luke's
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 201 S Lloyd St, E205, Aberdeen, SD, US |
| Provider Mailing Address | Po Box 1460, Aberdeen, SD, US, 574021460 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Todd Forkel |
| Official Position | PRESIDENT & CEO |
| Phone | 605-622-5125 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pediatrics Physician |
| Classification | |
| Group | |
| License No. | 10525 |
| License State | SD |
| Description | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 9237225 | SD | DAKOTACARE | 01 |
| 14000 | ND | MEDICAID | 05 |
| 4993532 | SD | WELLMARK BC/BS OF SD | 01 |
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