Organization
AVERA ST LUKE'S
Active
Other names
AVERA ST LUKES HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J BJERKNES (PRESIDENT/CEO)
(605) 622-5125
Entity
Organization
Contact information
Practice address
305 S STATE ST, ABERDEEN, SD 57401-4527
(605) 622-5100
(605) 622-4030
Mailing address
PO BOX 860674, MINNEAPOLIS, MN 55486-0001
(605) 622-2857
(605) 622-2859
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S101808
MEDICARE
SD
Enumeration date
09/20/2018
Last updated
08/18/2022
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