| Avera St Lukes | |
|
305 S State St Aberdeen SD 57401-4527 | |
| (605) 622-5000 | |
| (605) 622-5255 |
| Full Name | Avera St Lukes |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 305 S State St, Aberdeen, South Dakota |
| Authorized Official Name and Position | Tess Moeller (EXEC VP) |
| Authorized Official Contact | 6056222807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera St Lukes 305 S State St Aberdeen SD 57401-4527 Ph: (605) 622-5000 | Avera St Lukes 305 S State St Aberdeen SD 57401-4527 Ph: (605) 622-5000 |
| NPI Number | 1003867029 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 07/15/2022 |
| Certification Date | 07/15/2022 |
| Medicare PECOS PAC ID | 6406764927 |
|---|---|
| Medicare Enrollment ID | O20070612000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003867029 | NPI | - | NPPES |
| 2381 | Medicaid | ND | |
| 0230330 | Medicaid | SD | |
| 0230332 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 10525 (South Dakota) | Primary |
| 283Q00000X | Psychiatric Hospital | 10525 (South Dakota) | Secondary |
Prairie View Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 8th Ave Ne Ste 135, Aberdeen, SD 57401 Phone: 605-725-2230 | |
Northern State University Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 S Jay St, Aberdeen, SD 57401 Phone: 605-626-2566 | |
Lavonne Appletoft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 8th Ave Nw Ste 333, Aberdeen, SD 57401 Phone: 605-225-3622 Fax: 605-229-2719 | |
Northern Plains Psychological Associates, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 405 8th Ave Nw Ste 333, Aberdeen, SD 57401 Phone: 605-225-3622 Fax: 605-229-2719 | |
Laurie Z Lippert Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 405 8th Ave Nw, Suite 333, Aberdeen, SD 57401 Phone: 605-225-3622 Fax: 605-229-2719 | |
Rebecca J Kuch Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 8th Ave Nw Ste 333, Aberdeen, SD 57401 Phone: 605-225-3622 Fax: 605-229-2719 |