Avera St Luke'S in Aberdeen - End-stage Renal Disease (esrd) Treatment
Avera St Luke'S - NPI 1649221664
Avera St Luke'S is a End-stage Renal Disease (esrd) Treatment in Aberdeen, South Dakota. Avera St Luke'S practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Avera St Luke'S is 1649221664. The last update date is 2022-08-18.
Avera St Luke'S's current location address is 305 S State St, Aberdeen, South Dakota. You can contact this provider via phone number 6056225000 and fax number 6056225255. The mailing address for Avera St Luke'S is 305 S State St, Aberdeen, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera St Luke'S |
|---|---|
| Address | 305 S State St, Aberdeen, South Dakota |
| Phone Number | 6056225000 |
| Fax Number | 6056225255 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Jacobson L Ronald |
| Telephone Number | 6056225125 |
NPI Number Detail
| NPI Number | 1649221664 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2022-08-18 |
Provider Mailing Address Detail
| Address | 305 S State St |
|---|---|
| City | Aberdeen |
| State | South Dakota (SD) |
| Post Code | 574014527 |
| Phone Number | 6056225000 |
| Fax Number | 6056225255 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
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Post Comment/ Review Below
What is the unique 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) 1649221664. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Avera St Luke'S is located?
The Avera St Luke'S is situated at the following address: 305 S State St, Aberdeen, SD, 574014527.
What is Avera St Luke'S's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Avera St Luke'S is End-stage Renal Disease (esrd) Treatment, and the taxonomy classification code that categorizes this area of expertise is 261Qe0700X.
On what date did Avera St Luke'S receive its 1649221664 assignment from the Centers for Medicare & Medicaid Services?
The Avera St Luke'S was assigned its 1649221664 on 2006-05-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Avera St Luke'S most recently updated or revised?
The details related to Avera St Luke'S, including its address, specialty, and other relevant information, were last updated or revised on 2022-08-18.