Family Medicine
AVERA ST. LUKE'S
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1639373756 · enumerated 2007-06-13 · record updated 2008-01-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. RON JACOBSON, CEO · (605) 622-5000
Other names: MOBRIDGE FAMILY PRACTICE CLINIC
Addresses and phones
- Practice location 1400 10TH AVE W, MOBRIDGE, SD, 57601-1246 (605) 845-7292 Fax (605) 845-7812 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 710, MOBRIDGE, SD, 57601-0710 (605) 845-7292 Fax (605) 845-7812 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 10525 SD
In this directory
Locations and evidence
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Practice location
MOBRIDGE, SD, 576011246
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.