SACRED HEART HEALTH SERVICES (NPI# 1730448671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730448671 |
| Entity Type | Organization |
| Organization Name | SACRED HEART HEALTH SERVICES |
| Other Organization Name | AVERA MEDICAL GROUP NIOBRARA |
| Practice Address |
25410 Park Ave Apt E Niobrara NE 68760-7044 |
| Mailing Address |
1000 W 4th St Ste 8 Yankton SD 57078-3700 |
| Practice Telephone | 4028573398 |
| Practice Fax Number | 4028573315 |
| Mailing Telephone | 6056551414 |
| Mailing Fax Number | 6056551420 |
| Enumeration Date | 2012-05-13 |
| Last Update Date | 2020-03-31 |
| Authorized Official Name | DOUGLAS EKEREN (CEO/PRESIDENT) |
| Authorized Official Telephone | 6056688321 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | MEDICARE | NA1399 | 01 |
| Other Name | Type Code |
|---|---|
| Avera Medical Group Niobrara | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740783463 | Sacred Heart Health Services | Family Medicine | 409 Summit St Ste 3400, Yankton, SD 57078-3735 | 2018-03-09 |
| 1578004883 | Sacred Heart Health Services | Family Medicine | 2525 Fox Run Pkwy Ste 200, Yankton, SD 57078-5371 | 2017-03-20 |
| 1275872707 | Sacred Heart Health Services | Psychologist | 409 Summit St Ste 3300, Yankton, SD 57078-3735 | 2013-02-04 |
| 1255657888 | Sacred Heart Health Services | Otolaryngology | 409 Summit St Ste 3200, Yankton, SD 57078-3736 | 2010-04-07 |
| 1508093147 | Sacred Heart Health Services | Podiatrist | 409 Summit St Ste 2600, Yankton, SD 57078-3746 | 2009-06-22 |
| 1952535536 | Sacred Heart Health Services | Radiology | 501 Summit St Ste 8, Yankton, SD 57078-3855 | 2009-05-11 |
| 1912072141 | Sacred Heart Health Services | Skilled Nursing Facility | 2111 W 11th St, Yankton, SD 57078-6865 | 2006-11-22 |
| 1912562752 | Sacred Heart Health Services | Internal Medicine | 1000 W 4th St Ste 8, Yankton, SD 57078-3700 | 2019-05-07 |
| 1194228817 | Sacred Heart Health Services | Preventive Medicine | 409 Summit St Ste 2500, Yankton, SD 57078-3739 | 2018-03-09 |
| 1053838508 | Sacred Heart Health Services | Physical Therapist | 2525 Fox Run Pkwy Ste 100, Yankton, SD 57078-5371 | 2017-08-25 |
| Street Address |
25410 PARK AVE APT E |
| City | NIOBRARA |
| State | NE |
| Zip Code | 68760-7044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023582111 | Stephani Sue Reinhardt | Registered Nurse | 110 So. Visiting Eagle St, Niobrara, NE 68760 | 2019-01-11 |
| 1972630234 | Santee Clinic Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 110 S. Visiting Eagle Street, Niobrara, NE 68760 | 2007-02-27 |
| 1558641787 | Golden Living Center-neligh | Skilled Nursing Facility | 16 Cottonwood Dr, Box 37, Niobrara, NE 68760-6083 | 2011-08-19 |
| 1568475622 | Niobrara Rural Fire District | Ambulance | 259 Spruce Ave, Niobrara, NE 68760-6102 | 2006-08-13 |
| 1881233070 | Diane Margaret Teadtke | Nurse Practitioner | 52518 890 Rd, Niobrara, NE 68760-7003 | 2020-01-05 |
| 1801989967 | Sacred Heart Rural Health Clinics | Clinic/Center | 25410 Park Ave, Apartment E, Niobrara, NE 68760-7044 | 2006-10-02 |
| 1750474755 | Danielle Wallinga | Physician Assistant | 25410 Park Ave, Apartment E, Niobrara, NE 68760-7044 | 2006-10-02 |
| 1659854537 | Chelsey Renee Chohon | Registered Nurse | 247 N Highway 12, Niobrara, NE 68760-7070 | 2018-09-07 |
| 1922025527 | Lanny Turner | Emergency Medicine | 110 S Visiting Eagle St, Santee Health Clinic, Niobrara, NE 68760-7201 | 2006-07-17 |
| 1821656349 | Karrah Ann Johnson Bruegman | Dentist | 110 S Visiting Eagle St, Niobrara, NE 68760-7201 | 2019-05-30 |
| Find all providers in zip 68760 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801989967 | Sacred Heart Rural Health Clinics | Clinic/Center | 25410 Park Ave, Apartment E, Niobrara, NE 68760-7044 | 2006-10-02 |
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|---|---|---|---|---|
| 1366962706 | Ogallala Community Hospital | Clinic/Center | 2601 N Spruce St Ste A, Ogallala, NE 69153-2465 | 2017-06-27 |
| 1104228451 | Lexington Regional Health Center | Clinic/Center | 1105 N Erie St, Lexington, NE 68850-1504 | 2014-09-18 |
| 1255761631 | Kimball County Hospital | Clinic/Center | 922 1/2 Sherman Street, Potter, NE 69156-0163 | 2013-11-20 |
| 1629344692 | Avera St Anthonys Hospital | Clinic/Center | 103 S Thayer St, Spencer, NE 68777-9784 | 2012-03-23 |
| 1003182072 | Avera St Anthonys Hospital | Clinic/Center | 202 Nebraska St, Ewing, NE 68735-9513 | 2012-03-23 |
| 1477827244 | Cheyenne County Hospital Association Inc | Clinic/Center | 562 Vincent Ave, Chappell, NE 69129-9713 | 2012-02-27 |
| 1356676761 | Oakland Mercy Hospital | Clinic/Center | 600 E Fulton St, Hooper, NE 68031-3074 | 2009-10-03 |
| 1659528412 | Regional West Physicians Clinic | Clinic/Center | 302 Center Ave, Morrill, NE 69358-3017 | 2008-08-25 |
| 1073776886 | Minden Family Practice Clinic Inc | Clinic/Center | 345 N Minden Ave, Minden, NE 68959-1657 | 2008-07-02 |
| 1922269828 | Chadron Community Hospital Corp. | Clinic/Center | 11 Paddock St, Crawford, NE 69339-1143 | 2008-06-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.