Avera St. Luke's, NPI 1245275189
Pediatrics Physician in Aberdeen, SD, US

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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
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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

208000000X

Taxonomy Name Pediatrics Physician
Classification

Pediatrics

Group

Allopathic & Osteopathic Physicians

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 Organization Name

Avera Medical Group Pediatrics Aberdeen
Doing Business As

Business Address

Avera St. Luke's
201 S Lloyd St
E205

Aberdeen, SD, US

Phone: 605-622-4050
Fax: 605-622-4049

Mailing Address

Avera St. Luke's
Po Box 1460
Aberdeen, SD, US
ZIP 574021460
Phone: 605-622-4050
Fax: 605-622-4049

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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