Avera St Luke'S
Avera St Luke'S is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Aberdeen, SD, holding Type 2 (organization) NPI 1649221664 since 2006. The authorized official on file is Ronald Jacobson, Chief Executive Officer.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649221664 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera St Luke'S |
| Practice address | 305 S STATE ST, Aberdeen, SD, 57401 |
| Phone | 6056225000 |
| Fax | 6056225255 |
| Enumeration date | 2006-05-15 |
| Last updated in NPPES | 2022-08-18 |
Authorized official
| Name | Ronald Jacobson |
|---|---|
| Title | Chief Executive Officer |
| Phone | 6056225125 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Avera St Luke'S NPI: 1649221664 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 305 S STATE ST, Aberdeen, SD, 57401
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1790789543 | Russell Pietz | Individual | Family Medicine Physician | Aberdeen, SD |
| 1366438814 | Alex Falk | Individual | Emergency Medicine Physician | Aberdeen, SD |
| 1003880402 | Shannon Young | Individual | Occupational Therapist | Aberdeen, SD |
| 1982679148 | Anesthesia Care Ltd | Organization | Anesthesiology Physician | Aberdeen, SD |
| 1457309270 | Avera St Lukes | Organization | General Acute Care Hospital | Aberdeen, SD |
| 1013968940 | Avera St Lukes | Organization | Medicare Defined Swing Bed Hospital Unit | Aberdeen, SD |
| 1003867029 | Avera St Lukes | Organization | Psychiatric Hospital Unit | Aberdeen, SD |
| 1770534612 | Avera St Lukes | Organization | Rehabilitation Hospital Unit | Aberdeen, SD |
Verify this record
Cross-check NPI 1649221664 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 a Type 2 NPI?
What type of organization is Avera St Luke'S?
Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2022-08-18.