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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: August 09, 2026.

About Avera St. Luke's Fastcare Shopko NPPES

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

AVERA ST. LUKE'S FASTCARE SHOPKO (NPI 1871728501) is a healthcare organization registered as a family medicine in Aberdeen, South Dakota and active in the NPI registry since May 2009. The organization lists Ron L Jacobson, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1871728501
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAVERA ST. LUKE'S
Location Address500 N HIGHWAY 281Aberdeen, SD 57401-1821
Mailing AddressPo Box 1460Aberdeen, SD 57402-1460 · (605) 622-2856 · Fax (605) 622-5963
Phone(605) 622-2856
Fax(605) 622-5963
Organization SubpartNo
Authorized OfficialRon L JacobsonPresident & Ceo · (605) 622-5125
Enumeration DateMay 26, 2009
Last NPPES UpdateJune 29, 2011
✔ NPI 1871728501 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.
500 N HIGHWAY 281, Aberdeen, SD 57401
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Other Names 1

Doing Business AsAvera St. Luke's Fastcare Shopko

Other Identifiers 1

Medicare PINS101808SD

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

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

SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
500 N HIGHWAY 281
ABERDEEN, SD 57401
Brown County (605) 225-3577

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 1871728501. It was assigned to this organization in the NPPES registry on May 26, 2009. The provider is doing business as Avera St. Luke's Fastcare Shopko.

Where is Avera St. Luke's located?

Avera St. Luke's is located at 500 N Highway 281, Aberdeen, SD 57401. The listed phone number is (605) 622-2856.

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 June 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.