SACRED HEART HEALTH SERVICES (NPI# 1194228817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194228817 |
Entity Type | Organization |
Organization Name | SACRED HEART HEALTH SERVICES |
Other Organization Name | AVERA MEDICAL GROUP WOUND CARE YANKTON |
Practice Address |
409 Summit St Ste 2500 Yankton SD 57078-3739 |
Mailing Address |
1000 W 4th St Ste 8 Yankton SD 57078-3700 |
Practice Telephone | 6056551710 |
Practice Fax Number | 6056551711 |
Mailing Telephone | 6056551414 |
Mailing Fax Number | 6056551420 |
Enumeration Date | 2018-03-09 |
Last Update Date | 2020-03-31 |
Authorized Official Name | DOUGLAS R EKEREN (PRESIDENT/CEO) |
Authorized Official Telephone | 6056688321 |
Is Organization Subpart | Y |
Parent Organization Name | SACRED HEART HEALTH SERVICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 163WW0000X |
Registered Nurse Specialization: Wound Care |
Nursing Service Providers |
Other Name | Type Code |
---|---|
Avera Medical Group Wound Care | Doing Business As Name - Organization |
Avera Medical Group Wound Care Yankton | 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 |
1730448671 | Sacred Heart Health Services | Family Medicine | 25410 Park Ave Apt E, Niobrara, NE 68760-7044 | 2012-05-13 |
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 |
1053838508 | Sacred Heart Health Services | Physical Therapist | 2525 Fox Run Pkwy Ste 100, Yankton, SD 57078-5371 | 2017-08-25 |
Street Address |
409 SUMMIT ST STE 2500 |
City | YANKTON |
State | SD |
Zip Code | 57078-3739 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164967774 | Stacy Kristin Kotalik | Nurse Practitioner | 409 Summit St Ste 2500, Yankton, SD 57078-3739 | 2017-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033719661 | Jime Lynne Rivera | Psychiatry & Neurology | 708 E 21st Street, Yankton, SD 57078 | 2020-11-01 |
1043617210 | Kenneth Tomek | Dietitian, Registered | 2100 Broadway St, Yankton, SD 57078 | 2014-12-03 |
1932530276 | Jacqueline Ann Kelley | Nurse Practitioner | 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 | 2013-12-12 |
1124363130 | Susan Kay Taecker | Occupational Therapist | 1502 Jo Ln, Yankton, SD 57078 | 2012-12-02 |
1295865178 | Dr Jon C Baumann Dds PC | Dentist | 809 Belfast Street, Yankton, SD 57078 | 2007-03-07 |
1306989090 | Gregory Scott Erickson | Internal Medicine | 501 Summit, Yankton, SD 57078 | 2007-02-14 |
1104976356 | Pine Lane Estates LLC | Assisted Living Facility | 2905 Douglas Ave, Yankton, SD 57078 | 2007-01-11 |
1518029917 | Teresa M Henrickson | Counselor | 904 W 23rd St Ste 101, Heartland Psychological Services, Yankton, SD 57078 | 2006-12-14 |
1396805016 | Joseph G Blackinton | Psychologist | Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 | 2006-12-11 |
1942383468 | Deborah Jean Kachena | Social Worker | 610 W 23rd Street, Yankton, SD 57078 | 2006-10-21 |
Find all providers in zip 57078 |
Taxonomy Code | 163WW0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Wound Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053800201 | Kathleen Kay Otten | Registered Nurse | 131 N Poplar Ave, Tea, SD 57064-2152 | 2018-05-03 |
1477827137 | Carla Ada Salzer | Registered Nurse | 305 S State St, Aberdeen, SD 57401-4527 | 2012-02-28 |
1851365563 | Linda R Hanson | Registered Nurse | 5000 S Minnesota Ave, Sioux Falls, SD 57108-2707 | 2006-02-17 |
Please comment or provide details below to improve the information on SACRED HEART HEALTH SERVICES.
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.