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MOBRIDGE FAMILY PRACTICE CLINIC
NPI 1639373756
Family Medicine in Mobridge, SD

Active since June 13, 2007
1400 10TH AVE W, MOBRIDGE, SD 57601(605) 845-7292(605) 845-7812 Get Directions Write a Review

NPPES record last updated: January 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mobridge Family Practice Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOBRIDGE FAMILY PRACTICE CLINIC (NPI 1639373756) is a healthcare organization registered as a family medicine in Mobridge, South Dakota and active in the NPI registry since June 2007. The organization lists Ron L Jacobson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639373756
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAVERA ST. LUKE'S
Location Address1400 10TH AVE WMobridge, SD 57601-1246
Mailing AddressPo Box 710Mobridge, SD 57601-0710 · (605) 845-7292 · Fax (605) 845-7812
Phone(605) 845-7292
Fax(605) 845-7812
Organization SubpartNo
Authorized OfficialRon L JacobsonCeo · (605) 622-5000
Enumeration DateJune 13, 2007
Last NPPES UpdateJanuary 18, 2008
✔ NPI 1639373756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SD · 10525
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1400 10TH AVE W, Mobridge, SD 57601
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Other Names 1

Doing Business AsMobridge Family Practice Clinic

Other Identifiers 1

Medicare PINS6153SD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVERA ST LUKES
Technician, Pathology
1400 10TH AVE W
MOBRIDGE, SD 57601
Walworth County (605) 845-7292
JOHN CHARLES OLSON O.D.
Optometrist
1400 10TH AVE W
MOBRIDGE, SD 57601
Walworth County (605) 845-2932

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera St. Luke's's NPI number?

The NPI number for Avera St. Luke's is 1639373756. It was assigned to this organization in the NPPES registry on June 13, 2007. The provider is doing business as Mobridge Family Practice Clinic.

Where is Avera St. Luke's located?

Avera St. Luke's is located at 1400 10th Ave W, Mobridge, SD 57601. The listed phone number is (605) 845-7292.

What is Avera St. Luke's's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Avera St. Luke's was last updated on January 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.