AVERA ST ANTHONYS HOSPITAL (NPI# 1184990152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184990152 |
| Entity Type | Organization |
| Organization Name | AVERA ST ANTHONYS HOSPITAL |
| Other Organization Name | AVERA MEDICAL GROUP PAGE |
| Practice Address |
103 N 5th St Page NE 68766-5018 |
| Mailing Address |
Po Box 270 Oneill NE 68763-0270 |
| Practice Telephone | 4023385452 |
| Mailing Telephone | 4023362900 |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-05-01 |
| Authorized Official Name | RONALD J. CORK (PRESIDENT/CEO) |
| Authorized Official Telephone | 4023362611 |
| Is Organization Subpart | Y |
| Parent Organization Name | AVERA ST ANTHONYS HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Avera Medical Group Page | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1750394409 | Avera St Anthonys Hospital | Clinic/Center | 300 North 2nd St, Oneill, NE 68763-1514 | 2006-08-14 |
| 1467728436 | Avera St Anthonys Hospital | Clinic/Center | 110 Park Ave, Chambers, NE 68725-3858 | 2012-03-23 |
| 1861787194 | Avera St Anthonys Hospital | Family Medicine | 300 N 2nd St, Suite 100, Oneill, NE 68763-1519 | 2011-06-15 |
| 1598878472 | Avera St Anthonys Hospital | General Acute Care Hospital | 300 North 2nd St, Oneill, NE 68763-1514 | 2006-08-16 |
| 1043223654 | Avera St Anthonys Hospital | Nurse Anesthetist, Certified Registered | 300 N 2nd St, Oneill, NE 68763-1514 | 2006-08-14 |
| 1891738936 | Avera St Anthonys Hospital | General Acute Care Hospital | 300 N 2nd St, O'neill, NE 68763-1514 | 2006-06-14 |
| Street Address |
103 N 5TH ST |
| City | PAGE |
| State | NE |
| Zip Code | 68766-5018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871858803 | Becky Lee Seger | Speech-Language Pathologist | 50477 873rd Rd, Page, NE 68766-5536 | 2012-07-05 |
| 1275722365 | David Allan Clark | Counselor | 50196 872nd Rd, Page, NE 68766-5539 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366055642 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 463 S Lake Powell Blvd Ste P, Page, AZ 86040-0856 | 2020-08-26 |
| 1902418940 | Cynthia M Burgess | Technician | 93 Lang Rd, Page, WV 25119 | 2020-08-20 |
| 1538799234 | Desert Heights Family Clinic Professional Corporation | Clinic/Center | 629 Elm St, Page, AZ 86040-7502 | 2020-01-22 |
| 1932748233 | Hayley Klotz | Physician Assistant | 440 N Navajo Dr, Page, AZ 86040-0950 | 2020-01-03 |
| 1528603107 | Heather Rapoza | Specialist/Technologist | 462 S Lake Powell Blvd, Page, AZ 86040-0856 | 2019-11-07 |
| 1144861154 | Barbara Bananov | Physical Therapist | 39 6th Ave # 3304, Page, AZ 86040-0470 | 2019-10-01 |
| 1093374704 | Lorrie M Pierson | In Home Supportive Care | 680 Haul Rd, Suite B, Page, AZ 86040-8604 | 2019-06-07 |
| 1881251437 | Amy Jean Snell | Nurse Practitioner | 501 N. Navajo Dr., Page, AZ 86040 | 2019-05-20 |
| 1740748441 | Cameron Sidney Shick | Pharmacist | 501 N Navajo Drive, Page, AZ 86040 | 2019-03-12 |
| 1891250338 | Samantha Elizabeth Cannavo | Specialist/Technologist | 1801 N Navajo Dr., Page, AZ 86040 | 2019-02-08 |
| Find all providers in PAGE | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285147678 | Page Hospital | Clinic/Center | 601 N Navajo, Page, AZ 86040 | 2017-11-08 |
| 1902317829 | Page Hospital | Clinic/Center | 601 N Navajo, Page, AZ 86040 | 2017-10-18 |
| 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.