Organization
AVERA ST LUKES
Active
Other names
Avera Clinic of Ellendale
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J BJERKNES (PRESIDENT/CEO)
(605) 622-5125
Entity
Organization
Contact information
Practice address
240 MAIN ST, ELLENDALE, ND 58436
(701) 349-3666
(701) 349-4945
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-4933
(605) 504-9489
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009046
—
SD
05
—
1451171
—
ND
01
—
N70860
MEDICARE
ND
Enumeration date
06/09/2006
Last updated
04/21/2026
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