Organization
AVERA ST LUKES
Active
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) 622-5000
(605) 622-5255
Mailing address
PO BOX 1460, SIOUX FALLS, SD 57101
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
SD
282N00000X
General Acute Care Hospital
Primary
10525
SD
3416A0800X
Air Ambulance
10525
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100140
—
SD
05
—
01087
—
ND
05
—
5590280
—
SD
05
—
9020650
—
SD
Enumeration date
05/04/2006
Last updated
04/27/2023
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