| Organization Name: | AVERA ST LUKES |
| NPI Number: | 1003867029 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD L JACOBSON (CHEIF EXECUTIVE OFFICER) |
| Mailing Address: | 305 S State St Aberdeen |
| State: | SD US |
| Postal Code: | 574014527 |
| Phone Number: | 6056225000 |
| Fax Number: | 6056225255 |
| NPI Enumeration Date: | 05/15/2006 |
| NPI Last Update Date: | 07/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283Q00000X |
| License Number: | 10525 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SD |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Psychiatric Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |