SACRED HEART RURAL HEALTH CLINICS (NPI# 1801989967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801989967 |
| Entity Type | Organization |
| Organization Name | SACRED HEART RURAL HEALTH CLINICS |
| Other Organization Name | AVERA MEDICAL GROUP NIOBRARA |
| Practice Address |
25410 Park Ave Apartment E Niobrara NE 68760-7044 |
| Mailing Address |
1000 W 4th St Suite 8 Yankton SD 57078-3730 |
| Practice Telephone | 4028573398 |
| Practice Fax Number | 4028573315 |
| Mailing Telephone | 6056551201 |
| Mailing Fax Number | 6056551210 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-02-07 |
| Authorized Official Name | MRS. PAM REZAC (PRESIDENT/CEO) |
| Authorized Official Telephone | 6056688322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025008100 | 05 | |
| NE | DAKOTACARE | 921087 | 01 |
| Other Name | Type Code |
|---|---|
| Avera Medical Group Niobrara | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669616496 | Sacred Heart Rural Health Clinics | Otolaryngology | 409 Summit St, Suite 2800, Yankton, SD 57078-3734 | 2009-04-23 |
| 1669458899 | Sacred Heart Rural Health Clinics | Family Medicine | 555 E John St, Oneill, NE 68763-1355 | 2005-12-20 |
| 1417128299 | Sacred Heart Rural Health Clinics | Family Medicine | 403 E Hynes Ave, Oneill, NE 68763-1301 | 2008-03-19 |
| 1962584037 | Sacred Heart Rural Health Clinics | Podiatrist | 1000 W 4th St, Ste 2, Yankton, SD 57078-3700 | 2006-10-19 |
| 1508813957 | Sacred Heart Rural Health Clinics | Clinic/Center | 405 W Darlene St, Hartington, NE 68739-4806 | 2006-05-30 |
| 1336196617 | Sacred Heart Rural Health Clinics | Clinic/Center | 203 W Main St, Crofton, NE 68730-3307 | 2006-05-30 |
| Street Address |
25410 PARK AVE APARTMENT E |
| City | NIOBRARA |
| State | NE |
| Zip Code | 68760-7044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750474755 | Danielle Wallinga | Physician Assistant | 25410 Park Ave, Apartment E, Niobrara, NE 68760-7044 | 2006-10-02 |
| 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 |
| 1730448671 | Sacred Heart Health Services | Family Medicine | 25410 Park Ave Apt E, Niobrara, NE 68760-7044 | 2012-05-13 |
| 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 |
| 1053879445 | Jennifer Susan Cole | Registered Nurse | 110 S Visiting Eagle St, Niobrara, NE 68760-7201 | 2019-03-05 |
| 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 |
|---|---|---|---|---|
| 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.