Avera St Lukes is a Prosthetic & Orthotic Supplier (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 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 Center 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.
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
10525
South Dakota
Primary
10525
South Dakota
Secondary
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
Similar Centers in Aberdeen, SD
Mid Star Lab Inc Speciality: Prosthetic & Orthotic Address: 708 S Roosevelt St, Ste 2, Aberdeen, SD Phone: 605-252-5500