Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avera St Luke's

Organization Family Medicine Physician · NPI 1639373756

Avera St Luke's is a Family Medicine Physician in Mobridge, South Dakota. Licensed in South Dakota. Registered with an NPI since 2007.

Licensed in
SD
In the registry since
2007

Practice location Address checks out

1400 10th Ave W
Mobridge, SD 57601-1246
Phone: (605) 845-7292
Fax: (605) 845-7812
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 10525 (SD)

Record details

NPI number1639373756
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ron Jacobson — Ceo · (605) 622-5000
Other names Mobridge Family Practice Clinic
NPI enumeratedJune 13, 2007
Last updated in NPPESJanuary 18, 2008
Mailing addressPo Box 710, Mobridge, SD 57601-0710

Other providers in Mobridge