OrganizationActive
Avera St. Luke'S
NPI 1871728501 · Family Medicine Physician · Aberdeen, SD
Provider details
- NPI number
- 1871728501
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ron Jacobson, President & Ceo(605) 622-5125
- License
- 10525 (SD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
500 N Highway 281
Aberdeen, SD 57401-1821
Phone: (605) 622-2856
Fax: (605) 622-5963
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1460
Aberdeen, SD 57402-1460
Other names (DBA / former)
- Doing business as
- Avera St. Luke'S Fastcare Shopko
Registry dates
- Enumerated
- 2009-05-26
- Last updated
- 2011-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.