| Avera St Luke's | |
|
8 E Us Highway 12 Groton SD 57445-2176 | |
| (605) 397-4242 | |
| (605) 397-4243 |
| Full Name | Avera St Luke's |
|---|---|
| Speciality | Family Medicine |
| Location | 8 E Us Highway 12, Groton, South Dakota |
| Authorized Official Name and Position | Daniel J Bjerknes (PRESIDENT/CEO) |
| Authorized Official Contact | 6056225125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera St Luke's Po Box 86370 Sioux Falls SD 57118-6370 Ph: (605) 322-4933 | Avera St Luke's 8 E Us Highway 12 Groton SD 57445-2176 Ph: (605) 397-4242 |
| NPI Number | 1306031976 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 05/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306031976 | NPI | - | NPPES |
| 9250989 | Other | SD | DAKOTACARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10525 (South Dakota) | Primary |