AVERA ST. LUKE'S FASTCARE SHOPKO
NPI 1871728501
Family Medicine in Aberdeen, SD

Active since May 26, 2009
500 N HIGHWAY 281, ABERDEEN, SD 57401(605) 622-2856(605) 622-5963 Get Directions Write a Review

NPPES record last updated: June 29, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Family Medicine

About AVERA ST. LUKE'S FASTCARE SHOPKO

This page provides the complete NPI Profile along with additional information for Avera St. Luke's Fastcare Shopko, a primary care provider established in Aberdeen, South Dakota operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1871728501 assigned on May 2009. The practitioner's primary taxonomy code is 207Q00000X with license number 10525 (SD). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Avera St. Luke's Fastcare Shopko. The authorized official of this NPI record is Mr. Ron L Jacobson (President & Ceo)

NPI
1871728501 Verify this NPI
Provider Legal Name
AVERA ST. LUKE'S
Other Organization Name
AVERA ST. LUKE'S FASTCARE SHOPKO
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
500 N HIGHWAY 281 ABERDEEN, SD 57401
Location Phone
(605) 622-2856
Location Fax
(605) 622-5963
Mailing Address
PO BOX 1460 ABERDEEN, SD 57402
Mailing Phone
(605) 622-2856
Mailing Fax
(605) 622-5963
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-26-2009
Last Update Date
06-29-2011
Code Navigator

A primary care provider (PCP) like Avera St. Luke's Fastcare Shopko sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
10525
License State
SD
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RON L JACOBSON

Authorized Official Title
PRESIDENT & CEO
Authorized Official Phone
(605) 622-5125

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
S101808MEDICARE PIN (08)SD 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
500 N HIGHWAY 281
ABERDEEN, SD 57401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871728501, enumerated as an "organization" on May 26, 2009.

The provider is located at 500 N HIGHWAY 281 ABERDEEN, SD 57401 and the phone number is (605) 622-2856.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.