Avera St. Luke'S
Avera St. Luke'S is a healthcare organization registered as Family Medicine Physician in Mobridge, SD, holding Type 2 (organization) NPI 1639373756 since 2007. The authorized official on file is Ron Jacobson, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639373756 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera St. Luke'S |
| Other name | <Unavail> |
| Practice address | 1400 10TH AVE W, Mobridge, SD, 57601 |
| Phone | 6058457292 |
| Fax | 6058457812 |
| Enumeration date | 2007-06-13 |
| Last updated in NPPES | 2008-01-18 |
Authorized official
| Name | Ron Jacobson |
|---|---|
| Title | Ceo |
| Phone | 6056225000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | 10525 | SD |
Copy-ready billing details
Provider: Avera St. Luke'S NPI: 1639373756 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 1400 10TH AVE W, Mobridge, SD, 57601
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1174548937 | Avera St Lukes | Organization | Pathology Technician | Mobridge, SD |
| 1902248099 | John Olson | Individual | Optometrist | Mobridge, SD |
Verify this record
Cross-check NPI 1639373756 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
What is the NPI number for Avera St. Luke'S?
Who is the authorized official for Avera St. Luke'S?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-01-18.