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Avera St Lukes

NPI 1386693430ActiveOrganization· Skilled Nursing Facility· Aberdeen, SD

Skilled Nursing Facility in Aberdeen, South Dakota, registered in NPPES in May 2006. The authorized official on file is Ronald L. Jacobson, Chief Executive Officer. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1386693430
StatusActive
Entity typeOrganization
NPI issuedMay 8, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X10590SD

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (SD)

Medicare sources and data years

Other Skilled Nursing Facility providers in Aberdeen

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