Healthcare Provider Details

I. General information

NPI: 1619355633
Provider Name (Legal Business Name): AVERA ST LUKE'S
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2015
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 1ST AVE SE
ABERDEEN SD
57401
US

IV. Provider business mailing address

PO BOX 4400
ABERDEEN SD
57402-4400
US

V. Phone/Fax

Practice location:
  • Phone: 605-622-5878
  • Fax: 605-622-5888
Mailing address:
  • Phone: 605-622-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DANIEL BJERKNES
Title or Position: REGIONAL PRESIDENT/CEO
Credential:
Phone: 605-622-2807