Avera St. Luke'S in Aberdeen - Dietitian, Registered
Avera St. Luke'S - NPI 1215100813
Avera St. Luke'S is a Dietitian, Registered in Aberdeen, South Dakota. Avera St. Luke'S practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Avera St. Luke'S is 1215100813. The last update date is 2023-04-20.
Avera St. Luke'S's current location address is 105 S State St Ste 201, Aberdeen, South Dakota. You can contact this provider via phone number 6056225458 and fax number 6056225473. The mailing address for Avera St. Luke'S is 105 S State St Ste 201, Aberdeen, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera St. Luke'S |
|---|---|
| Address | 105 S State St Ste 201, Aberdeen, South Dakota |
| Phone Number | 6056225458 |
| Fax Number | 6056225473 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Bjerknes J Daniel |
| Telephone Number | 6056225125 |
NPI Number Detail
| NPI Number | 1215100813 |
|---|---|
| Provider Enumeration Date | 2008-04-04 |
| Last Updated Date | 2023-04-20 |
Provider Mailing Address Detail
| Address | 105 S State St Ste 201 |
|---|---|
| City | Aberdeen |
| State | South Dakota (SD) |
| Post Code | 574014502 |
| Phone Number | 6056225458 |
| Fax Number | 6056225473 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 10525 |
|
Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14713 | ND | -- | |
| 9257818 | SD | DAKOTACARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Avera St. Luke'S by the Centers for Medicare & Medicaid Services?
The Avera St. Luke'S has been assigned the NPI (National Provider Identifier) 1215100813 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Avera St. Luke'S's physical address?
The Avera St. Luke'S is physically located at 105 S State St Ste 201, in the city of Aberdeen, SD, with the postal code 574014502.
What is the Avera St. Luke'S's specialty and taxonomy code?
The Avera St. Luke'S's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.
On what date did the Avera St. Luke'S receive its 1215100813 assignment from the Centers for Medicare & Medicaid Services?
The Avera St. Luke'S was assigned its 1215100813 by the Centers for Medicare & Medicaid Services on 2008-04-04.
When was the Avera St. Luke'S's information last updated?
The Avera St. Luke'S's information was last updated on 2023-04-20.
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