Organization
AVERA ST. LUKES
Active
Other names
Avera Eureka Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
TESS MOELLER (VP)
(605) 622-2807
Entity
Organization
Contact information
Practice address
202 J AVE., EUREKA, SD 57437-2225
(605) 284-2145
(605) 284-2011
Mailing address
PO BOX 40, EUREKA, SD 57437-0040
(605) 284-2145
(605) 284-2011
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10618
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150060
—
SD
05
—
9572202
—
SD
Enumeration date
12/21/2005
Last updated
07/15/2022
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