OrganizationActive
Avera St. Luke'S
NPI 1639373756 · Family Medicine Physician · Mobridge, SD
Provider details
- NPI number
- 1639373756
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ron Jacobson, Ceo(605) 622-5000
- License
- 10525 (SD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1400 10th Ave W
Mobridge, SD 57601-1246
Phone: (605) 845-7292
Fax: (605) 845-7812
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 710
Mobridge, SD 57601-0710
Other names (DBA / former)
- Doing business as
- Mobridge Family Practice Clinic
Registry dates
- Enumerated
- 2007-06-13
- Last updated
- 2008-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.