Avera St Lukes is a Prosthetic & Orthotic Supplier in Aberdeen, South Dakota. This organization is also known as sub part of Hospital. It is situated at 305 S State St, Aberdeen and its contact number is 605-622-5000. The authorized person of Avera St Lukes is Ronald L Jacobson
who is Ceo of the store and his/her contact number is 605-622-5125. Primary license number for Avera St Lukes is 10525 (Oxygen Equipment & Supplies) in South Dakota.
Avera St Lukes is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Profile:
Avera St Lukes Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
| Specialization: | Prosthetic & Orthotic Supplier |
| Address: | 305 S State St, Aberdeen,
South Dakota, 57401-4527 |
| Phone: | 605-622-5000 |
| Fax: | 605-622-5255 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
| Name: | Ronald L Jacobson |
| Position: | Ceo |
| Contact Number: | 605-622-5125 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Avera St Lukes center are as mentioned below.
| NPI Number: | 1912011867 |
| Parent Organization: | Hospital |
| NPI Enumeration Date: | 18 Aug, 2006 |
| NPI Last Update On: | 22 Oct, 2007 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Avera St Lukes are as mentioned below.
| Specialization | License Number | State | Status | |
| Oxygen Equipment & Supplies | 10525 | South Dakota | Primary | |
| Prosthetic/orthotic Supplier | 10525 | South Dakota | Secondary | |
| Institutional Pharmacy | 10525 | South Dakota | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 9163240 | Medicaid | South Dakota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Avera St Lukes
305 S State St,
Aberdeen, South Dakota |
| Zip: | 57401-4527 |
| Phone Number: | 605-622-5000 |
| Fax Number: | 605-622-5255 |
Patients can reach Avera St Lukes at
305 S State St, Aberdeen, South Dakota or can
call to book an appointment on 605-622-5000.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.