SACRED HEART RURAL HEALTH CLINICS (NPI# 1336196617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336196617 |
| Entity Type | Organization |
| Organization Name | SACRED HEART RURAL HEALTH CLINICS |
| Other Organization Name | AVERA MEDICAL GROUP CROFTON |
| Practice Address |
203 W Main St Crofton NE 68730-3307 |
| Mailing Address |
1000 W 4th St Ste 8 Yankton SD 57078-3700 |
| Practice Telephone | 4023882343 |
| Practice Fax Number | 4023882554 |
| Mailing Telephone | 6056551201 |
| Mailing Fax Number | 6056551210 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2012-02-08 |
| Authorized Official Name | PAMELA J REZAC (PRESIDENT & CEO) |
| Authorized Official Telephone | 6056688000 |
| 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 |
| Other Name | Type Code |
|---|---|
| Avera Medical Group Crofton | 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 |
| 1801989967 | Sacred Heart Rural Health Clinics | Clinic/Center | 25410 Park Ave, Apartment E, Niobrara, NE 68760-7044 | 2006-10-02 |
| 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 |
| Street Address |
203 W MAIN ST |
| City | CROFTON |
| State | NE |
| Zip Code | 68730-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699251397 | Jena Marie Nelson | Nurse Practitioner | 203 W Main St, Crofton, NE 68730-3307 | 2018-07-16 |
| 1316206949 | Sacred Heart Health Services | Family Medicine | 203 W Main St, Crofton, NE 68730-0425 | 2012-05-16 |
| 1013958685 | Lori A Manas-lammers | Nurse Practitioner | 203 W Main St, Crofton, NE 68730-3307 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508002106 | Marnie Herman Schieffer | Counselor | 55549 Highway12, Crofton, NE 68730-0000 | 2009-01-02 |
| 1609869304 | Crofton Volunteer Ambulance | Ambulance | 204 W Wyoming St, Crofton, NE 68730-3200 | 2005-08-26 |
| 1083756860 | Joseph Patrick Kelly | Dentist | 89574 545 Ave, Crofton, NE 68730-3238 | 2007-02-12 |
| 1063790541 | Karla Anne Drotzmann | Speech-Language Pathologist | 89259 Hwy 121, Crofton, NE 68730-3255 | 2011-08-01 |
| 1861625782 | Bonnetta Marlene Mattison | Registered Nurse | 55005 897 Rd Lot 203, Crofton, NE 68730-3259 | 2009-08-26 |
| 1619352622 | Haley Schmidt | Speech-Language Pathologist | 1314 W 3rd St, Po Boxt 157, Crofton, NE 68730-4117 | 2015-07-21 |
| 1871958462 | Crofton Community Fire Protection Dist | Ambulance | 205 W Iowa St, Crofton, NE 68730-4143 | 2015-12-23 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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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.