OrganizationActive
Avera St. Luke'S
NPI 1639373756 · Family Medicine Physician · Mobridge, SD
Avera St. Luke'S is a Family Medicine Physician organization in Mobridge, SD (NPI 1639373756).
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
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1400 10th Ave W
Mobridge, SD 57601-1246
Phone: (605) 845-7292
Fax: (605) 845-7812
Street-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
Frequently asked questions
- What is Avera St. Luke'S's NPI number?
- Avera St. Luke'S's National Provider Identifier (NPI) is 1639373756, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Avera St. Luke'S?
- Avera St. Luke'S is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Avera St. Luke'S located?
- Avera St. Luke'S's practice location on file with NPPES is 1400 10th Ave W, Mobridge, SD 57601-1246.
- What is Avera St. Luke'S's phone number?
- The practice phone number listed in the NPPES registry for Avera St. Luke'S is (605) 845-7292.
- Who is the authorized official for Avera St. Luke'S?
- The authorized official listed on Avera St. Luke'S's NPPES record is Ron Jacobson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Avera St. Luke'S's NPI active?
- Yes — Avera St. Luke'S's NPI (1639373756) is active in the NPPES registry as of the last update on 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.