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Organization
AVERA ST LUKES
Active
Organization
AVERA ST LUKES
Active
Other names
AVERA ST LUKES HOSPITAL SWINGBED
Organization subpart
No
Provider details
NPI number
Authorized official
TESS MOELLER (VP)
(605) 622-2807
Entity
Organization
Contact information
Practice address
305 S STATE ST, ABERDEEN, SD 57401-4527
(605) 622-5000
(605) 622-5255
Mailing address
305 S STATE ST, ABERDEEN, SD 57401-4527
(605) 622-5000
(605) 622-5255
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
10525
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159010
—
SD
05
—
01953
—
ND
01
—
8U014
HOSPITAL SWINGBED UNIT
SD
Enumeration date
05/15/2006
Last updated
07/15/2022
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