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Avera St. Luke'S

Internal Medicine Physician in Aberdeen, SD · enumerated 2007 · authorized official Ron Jacobson, President & Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477750289

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Registry record

Entity type Organization (Type 2)
Legal business name Avera St. Luke'S
Other name <Unavail>
Practice address 201 S Lloyd St, Suite W270, Aberdeen, SD, 57401
Fax (605) 725-2416
Enumeration date Jun 27, 2007
Last updated in NPPES Jun 30, 2011

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 10525 (SD) Primary

Authorized official

Name Ron Jacobson
Title President & Ceo

Other identifiers

Identifier Type State Issuer
9251433 Other SD DAKOTACARE
14389 Medicaid ND -

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.

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Frequently asked questions

What type of organization is Avera St. Luke'S?
Avera St. Luke'S is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-06-30.