Avera St. Luke's Fastcare Shopko | |
500 N Highway 281 Aberdeen SD 57401-1821 | |
(605) 622-2856 | |
(605) 622-5963 |
Full Name | Avera St. Luke's Fastcare Shopko |
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Speciality | Family Medicine |
Location | 500 N Highway 281, Aberdeen, South Dakota |
Authorized Official Name and Position | Ron L Jacobson (PRESIDENT & CEO) |
Authorized Official Contact | 6056225125 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Avera St. Luke's Fastcare Shopko Po Box 1460 Aberdeen SD 57402-1460 Ph: (605) 622-2856 | Avera St. Luke's Fastcare Shopko 500 N Highway 281 Aberdeen SD 57401-1821 Ph: (605) 622-2856 |
NPI Number | 1871728501 |
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Provider Enumeration Date | 05/26/2009 |
Last Update Date | 06/29/2011 |
Identifier | Type | State | Issuer |
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1871728501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 10525 (South Dakota) | Primary |
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