institution
Avera St Lukes
Rural Health Clinic/Center in Ellendale, North Dakota
NPI 1760423057

Avera St Lukes is a Rural Health Clinic/Center based in Sioux Falls, ND and is specialized in Rural Health. Avera St Lukes practices in Ellendale, ND. The NPI Number for Avera St Lukes is 1760423057 and holds a License No. (North Dakota).

The current practice location address for Avera St Lukes is 240 Main St, Ellendale, ND and can be reached out via phone at 701-349-3666 and via fax at 701-349-4945.

Location: 240 Main St, Ellendale, ND, 57118-6370
institution
Provider Profile Details
NPI Number
1760423057
Provider Name
Avera St Lukes
Credential
Provider Entity Type
Organization
Address
240 Main St, Ellendale, ND, 57118-6370
Phone Number
701-349-3666
Fax Number
701-349-4945
Provider Enumeration Date
06/09/2006
Last Update Date
06/15/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1451171 05 ND
1009046 05 SD
N70860 01 ND MEDICARE
institution
Provider Business Practice Location Address Details
Address
240 Main St
City
State
Zip
58436
Phone Number
701-349-3666
Fax Number
701-349-4945
person
Provider Business Mailing Address Details
Address
240 Main St
City
State
Zip
58436
Phone Number
701-349-3666
Fax Number
701-349-4945
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
()
Definition
Definition to come...
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