Avera St. Luke'S in Aberdeen - Psychiatry

Avera St. Luke'S - NPI 1649208695

Avera St. Luke'S is a Psychiatry in Aberdeen, South Dakota. Avera St. Luke'S practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Avera St. Luke'S is 1649208695. The last update date is 2023-04-20.

Avera St. Luke'S's current location address is 201 S Lloyd St Ste E201, Aberdeen, South Dakota. You can contact this provider via phone number 6056222545 and fax number 6056222531. The mailing address for Avera St. Luke'S is 201 S Lloyd St Ste E201, Aberdeen, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Avera St. Luke'S
Address 201 S Lloyd St Ste E201, Aberdeen, South Dakota
Phone Number 6056222545
Fax Number 6056222531
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Bjerknes J Daniel
Telephone Number 6056225125

NPI Number Detail

NPI Number 1649208695
Provider Enumeration Date 2006-06-29
Last Updated Date 2023-04-20

Provider Mailing Address Detail

Address 201 S Lloyd St Ste E201
City Aberdeen
State South Dakota (SD)
Post Code 5740145090
Phone Number 6056222545
Fax Number 6056222531

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 10525
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12240 ND --
25334 ND BCBS OF ND
9209669 SD DAKOTACARE
90349 SD HEALTH PARTNERS
4996464 SD WELLMARK BC/BS OF SD

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FAQs about Avera St. Luke'S

What is the unique 10-digit identification code assigned to Avera St. Luke'S by the Centers for Medicare & Medicaid Services?

The Avera St. Luke'S has been issued the NPI (National Provider Identifier) 1649208695, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Avera St. Luke'S?

The Avera St. Luke'S is physically situated at 201 S Lloyd St Ste E201, in the city of Aberdeen, state of SD, with the postal code 5740145090.

What is Avera St. Luke'S's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Avera St. Luke'S's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.

On what date did the Avera St. Luke'S receive its 1649208695 assignment from the Centers for Medicare & Medicaid Services?

The Avera St. Luke'S was assigned its 1649208695 by the Centers for Medicare & Medicaid Services on 2006-06-29.

As of what date were the details pertaining to Avera St. Luke'S last refreshed?

The information related to the Avera St. Luke'S, including its address, specialty, and other relevant details, was last updated on 2023-04-20.

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