Organization provider

AVERA ST. LUKE'S

CMS NPPES lists AVERA ST. LUKE'S as an organization provider record with NPI 1215100813. The current record reports a primary practice location in ABERDEEN, SD and primary taxonomy code 207R00000X.

NPI 1215100813Record type Type 2Primary taxonomy 207R00000X

Type 2 NPIs identify organizations such as practices, groups, and facilities; the NPI type alone does not establish a specific organization category. How to read this profile

01

Other reported names

  • Avera Internal Medicine AberdeenDoing-business-as name
  • Avera Medical Group Internal Medicine AberdeenDoing-business-as name
  • Avera Pulmonology AberdeenDoing-business-as name

02

Practice locations

  1. Primary practice location
    105 S STATE ST STE 201ABERDEEN, SD 574014502
  2. Additional practice location
    201 S Lloyd St Ste 105Aberdeen, SD 574014552

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

03

Taxonomy information

  • 133V00000XAdditional reported taxonomy
  • 207R00000XPrimary reported taxonomy
  • 207RP1001XAdditional reported taxonomy
  • 208M00000XAdditional reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

04

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
April 4, 2008

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.