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AVERA ST LUKES

Prosthetic Orthotic Supplier

Aberdeen, South Dakota

Provider NPI: 1912011867

Organization Information:
Organization Name:  AVERA ST LUKES


Practice Location:
305 S STATE ST  ABERDEEN, SD 57401 US
Tel: 605-622-5000  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N335E00000XSuppliers
Prosthetic/Orthotic Supplier
SD10525
N3336I0012XSuppliers
Pharmacy
SD10525
Y332BX2000XSuppliers
Durable Medical Equipment & Medical Supplies
SD10525

Other Provider Identifiers:

IssuerNumberStateType
9163240SD05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




PROSTHETIC JOBS SD - Page 1



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