Organization
AVERA ST LUKE'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD L JACOBSON (CHIEF EXECUTIVE OFFICER)
(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
305 S STATE ST, ABERDEEN, SD 57401-4527
(605) 622-5000
(605) 622-5255
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2006
Last updated
08/18/2022
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