AVERA ST LUKES (NPI# 1003867029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003867029 |
| Entity Type | Organization |
| Organization Name | AVERA ST LUKES |
| Practice Address |
305 S State St Aberdeen SD 57401-4527 |
| Practice Telephone | 6056225000 |
| Practice Fax Number | 6056225255 |
| Mailing Telephone | 6056225000 |
| Mailing Fax Number | 6056225255 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2009-07-14 |
| Authorized Official Name | RONALD L JACOBSON (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6056225125 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 283Q00000X | Psychiatric Hospital | 10525 | SD | Hospitals |
| Y | 273R00000X | Psychiatric Unit | 10525 | SD | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 0230330 | 05 | |
| SD | 0230332 | 05 | |
| ND | 2381 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932203015 | Avera St Lukes | Internal Medicine | 201 S Lloyd St Ste W240, Aberdeen, SD 57401-4530 | 2006-09-11 |
| 1174548937 | Avera St Lukes | Radiology | 1400 10th Ave W, Mobridge, SD 57601-1246 | 2006-07-13 |
| 1386693430 | Avera St Lukes | Skilled Nursing Facility | 1002 N Jay St, Aberdeen, SD 57401-2439 | 2006-05-08 |
| 1831504711 | Avera St Lukes | Clinic/Center | 310 S Penn St, Ste 201, Aberdeen, SD 57401 | 2014-06-30 |
| 1780004713 | Avera St Lukes | Radiology | 310 S Penn St, Suite 105, Aberdeen, SD 57401 | 2014-04-17 |
| 1386738102 | Avera St Lukes | Pharmacy | 305 S State St, Aberdeen, SD 57401-4527 | 2006-10-03 |
| 1912011867 | Avera St Lukes | Prosthetic/Orthotic Supplier | 305 S State St, Aberdeen, SD 57401-4527 | 2006-08-18 |
| 1760423057 | Avera St Lukes | Clinic/Center | 240 Main St, Ellendale, ND 58436 | 2006-06-09 |
| 1013968940 | Avera St Lukes | Medicare Defined Swing Bed Unit | 305 S State St, Aberdeen, SD 57401-4527 | 2006-05-15 |
| 1649221664 | Avera St Lukes | Clinic/Center | 305 S State St, Aberdeen, SD 57401-4527 | 2006-05-15 |
| Street Address |
305 S STATE ST |
| City | ABERDEEN |
| State | SD |
| Zip Code | 57401-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789543 | Russell C Pietz | Family Medicine | 305 S State St, Aberdeen, SD 57401-4527 | 2005-06-09 |
| 1942824701 | Stacy Lynn Anderson | Pharmacist | 305 S State St, Aberdeen, SD 57401-4527 | 2020-06-07 |
| 1124502646 | Avera St Luke's | Emergency Medicine | 305 S State St, Aberdeen, SD 57401-4527 | 2018-09-20 |
| 1689150252 | Kim Susanne Kram | Specialist/Technologist | 305 S State St, Aberdeen, SD 57401-4527 | 2018-07-17 |
| 1144769522 | Gerhard Marx | Social Worker | 305 S State St, Aberdeen, SD 57401-4527 | 2017-02-17 |
| 1851771133 | Susan Gutenkauf | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-06-02 |
| 1538548649 | Melanie C Erickson | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-21 |
| 1639557184 | Carrie Ann Werth | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-15 |
| 1861870404 | Buckley D Norris | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-15 |
| 1285012005 | Jason Stolp | Physical Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
| 1104366475 | Jordan Shangreaux | Specialist/Technologist | 2200 S Roosevelt St, Aberdeen, SD 57401 | 2017-03-06 |
| 1205387545 | Midwest Medical Transport Company, LLC-aberdeen, Sd | Ambulance | 2919 Industrial Avenue, Aberdeen, SD 57401 | 2016-10-21 |
| 1356752471 | Cameron Eichler Enterprises | Hearing Aid Equipment | 110 6th Ave Se Ste 106, Aberdeen, SD 57401 | 2014-05-12 |
| 1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
| 1427395540 | Matthew William Svensen | Physical Therapist | 1109 S Jay St, Aberdeen, SD 57401 | 2013-01-09 |
| 1750655940 | Robert Ashly Froke | Audiologist | 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 | 2012-03-06 |
| 1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
| 1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
| 1558554626 | Tiffany Zimmerman Hoeft | Speech-Language Pathologist | 39515 Pintail Ave, Aberdeen, SD 57401 | 2007-08-22 |
| Find all providers in zip 57401 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689191629 | Boa Vida Hospital of Aberdeen, Ms, LLC | Psychiatric Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-08-29 |
| 1801329834 | Lifebrite Hospital Group of Aberdeen LLC | Psychiatric Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2017-04-06 |
| 1609891993 | Pioneer Health Services of Monroe County, Inc. | Psychiatric Unit | 400 S Chestnut St, Aberdeen, MS 39730-3335 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861469587 | Monument Health Rapid City Hospital, Inc. | Psychiatric Unit | 915 Mountain View Rd, Rapid City, SD 57702-3414 | 2006-03-01 |
| 1437531571 | Rapid City Regional Hospital Inc | Psychiatric Unit | 915 Mountain View Rd, Rapid City, SD 57702-3414 | 2015-06-25 |
| 1225201205 | Avera Mckennan | Psychiatric Unit | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2008-04-10 |
| 1164445250 | Avera Mckennan | Psychiatric Unit | 4400 W 69th St, Sioux Falls, SD 57108-8170 | 2006-07-26 |
| 1437122009 | Monument Health Rapid City Hospital, Inc. | Psychiatric Unit | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2006-02-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.