Avera St Lukes
Avera St Lukes is a healthcare organization registered as Pathology Technician in Mobridge, SD, holding Type 2 (organization) NPI 1174548937 since 2006. The authorized official on file is Ron Jacobson, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174548937 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera St Lukes |
| Other name | <Unavail> |
| Practice address | 1400 10TH AVE W, Mobridge, SD, 57601 |
| Phone | 6058457292 |
| Fax | 6058457812 |
| Enumeration date | 2006-07-13 |
| Last updated in NPPES | 2025-09-11 |
Authorized official
| Name | Ron Jacobson |
|---|---|
| Title | President |
| Phone | 6056225502 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician | Secondary | — | — |
| 246R00000X | Pathology Technician | Primary | — | — |
Copy-ready billing details
Provider: Avera St Lukes NPI: 1174548937 Taxonomy: 246R00000X (Pathology Technician) Address: 1400 10TH AVE W, Mobridge, SD, 57601
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1639373756 | Avera St. Luke'S | Organization | Family Medicine Physician | Mobridge, SD |
Verify this record
Cross-check NPI 1174548937 against the authoritative CMS record: view Avera St Lukes 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
What type of organization is Avera St Lukes?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2025-09-11.