# AVERA ST LUKES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AVERA ST LUKES HOSPITAL SWINGBED
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013968940
- **Authorized official:** TESS MOELLER (VP)
- **Authorized official phone:** (605) 622-2807

## Contact information

- **Practice address:** 305 S STATE ST, ABERDEEN, SD 57401-4527
- **Practice address phone:** (605) 622-5000
- **Practice address fax:** (605) 622-5255
- **Mailing address:** 305 S STATE ST, ABERDEEN, SD 57401-4527
- **Mailing address phone:** (605) 622-5000
- **Mailing address fax:** (605) 622-5255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 10525 | SD | Yes |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 07/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0159010 | — | SD |
| 05 | — | 01953 | — | ND |
| 01 | — | 8U014 | HOSPITAL SWINGBED UNIT | SD |