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Avera St Lukes — NPI 1912011867, Aberdeen, SD | NPI Central

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NPI 1912011867

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Avera St Lukes

NPI 1912011867 · Oxygen Equipment & Supplies (DME) · Aberdeen, SD

Provider details

NPI number: 1912011867
Entity type: Organization
Primary specialty: Oxygen Equipment & Supplies (DME)Suppliers
Parent organization: Hospital
Organization subpart: Yes
Authorized official: Ronald Jacobson, Ceo(605) 622-5125
License: 10525 (SD)

Specialties & taxonomies

Oxygen Equipment & Supplies (DME)Primary332BX2000XLicense 10525 (SD)
Suppliers
Prosthetic/Orthotic Supplier335E00000XLicense 10525 (SD)
Suppliers
Institutional Pharmacy3336I0012XLicense 10525 (SD)
Suppliers

Practice location

305 S State St

Aberdeen, SD 57401-4527

Phone: (605) 622-5000

Fax: (605) 622-5255

Approximate (ZIP-level) locationGet directions

More SD providers

Mailing address

305 S State St

Aberdeen, SD 57401-4527

Registry dates

Enumerated: 2006-08-18
Last updated: 2007-10-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.