Avera St Luke'S
Avera St Luke'S is a healthcare organization registered as Assisted Living Facility in Aberdeen, SD, holding Type 2 (organization) NPI 1124163225 since 2007. The authorized official on file is Tess Moeller, Vp.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124163225 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera St Luke'S |
| Other name | <Unavail> |
| Practice address | 1002 N JAY ST, Aberdeen, SD, 57401 |
| Phone | 6056225847 |
| Fax | 6056225255 |
| Enumeration date | 2007-02-20 |
| Last updated in NPPES | 2022-07-15 |
Authorized official
| Name | Tess Moeller |
|---|---|
| Title | Vp |
| Phone | 6056222870 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Primary | 41969 | SD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9572350 | Medicaid | SD | — |
Copy-ready billing details
Provider: Avera St Luke'S NPI: 1124163225 Taxonomy: 310400000X (Assisted Living Facility) Address: 1002 N JAY ST, Aberdeen, SD, 57401
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1386693430 | Avera St Lukes | Organization | Skilled Nursing Facility | Aberdeen, SD |
Verify this record
Cross-check NPI 1124163225 against the authoritative CMS record: view Avera St Luke'S on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Avera St Luke'S?
What is the NPI number for Avera St Luke'S?
Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2022-07-15.