SACRED HEART RURAL HEALTH CLINICS (NPI# 1669616496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669616496 |
| Entity Type | Organization |
| Organization Name | SACRED HEART RURAL HEALTH CLINICS |
| Other Organization Name | AVERA MEDICAL GROUP EAR, NOSE & THROAT YANKTON |
| Practice Address |
409 Summit St Suite 2800 Yankton SD 57078-3734 |
| Mailing Address |
1000 W 4th St Suite 8 Yankton SD 57078-3730 |
| Practice Telephone | 6056656820 |
| Practice Fax Number | 6056656821 |
| Mailing Telephone | 6056551201 |
| Mailing Fax Number | 6056551210 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2012-03-06 |
| Authorized Official Name | MRS. PAM REZAC (CEO/PRESIDENT) |
| Authorized Official Telephone | 6056688000 |
| Is Organization Subpart | Y |
| Parent Organization Name | SACRED HEART HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Avera Medical Group Ear, Nose & Throat Yankton | Doing Business As Name - Organization |
| 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 |
| 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 |
409 SUMMIT ST SUITE 2800 |
| City | YANKTON |
| State | SD |
| Zip Code | 57078-3734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629612148 | Brian R Brandt | Nurse Practitioner | 409 Summit St, Yankton, SD 57078-3734 | 2019-10-29 |
| 1083073597 | Holly Haberman | Nurse Practitioner | 409 Summit St, Suite # 3400, Yankton, SD 57078-3734 | 2016-02-12 |
| 1104255389 | Union County Health Foundation | Clinic/Center | 409 Summit St, Suite 3400, Yankton, SD 57078-3735 | 2013-11-07 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255657888 | Sacred Heart Health Services | Otolaryngology | 409 Summit St Ste 3200, Yankton, SD 57078-3736 | 2010-04-07 |
| 1124269162 | Micah Marshall Likness | Otolaryngology | 2525 Fox Run Parkway, Suite 101, Yankton, SD 57078-5371 | 2009-03-22 |
| 1801901863 | Yankton Ear Nose and Throat PC | Otolaryngology | 409 Summit St Ste 2800, Yankton, SD 57078-3735 | 2006-08-20 |
| 1689605016 | Ear Nose and Throat Associates PC | Otolaryngology | 2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5371 | 2006-07-05 |
| 1932136173 | David Joel Abbott | Otolaryngology | 2525 Fox Run Pkwy, Suite 101, Yankton, SD 57078-5371 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265511406 | John Rhodes Oliphant | Otolaryngology | 5024 S Bur Oak Place, Suite 114, Sioux Falls, SD 57108-2237 | 2006-11-06 |
| 1881651958 | Reuben C Setliff IIi | Otolaryngology | 2709 E 26th St, Sioux Falls, SD 57103-4016 | 2006-05-01 |
| 1083680458 | Jonathan W Mellema | Otolaryngology | 310 22nd Ave, Brookings, SD 57006-2474 | 2006-02-27 |
| 1528039765 | Robert A Cihak | Otolaryngology | 820 1st Ave Se Ste 100, Aberdeen, SD 57401-4604 | 2006-01-27 |
| 1376520049 | Vaughan Richard Bowen | Otolaryngology | 4940 5th St Ste 2b, Rapid City, SD 57701-6026 | 2005-12-23 |
| 1871590547 | Daniel Warren Todd | Otolaryngology | 2315 W 57th St, Sioux Falls, SD 57108-5046 | 2005-07-07 |
| 1053754994 | Sean Johnson | Otolaryngology | 1310 W 22nd St, Sioux Falls, SD 57105-1501 | 2013-04-10 |
| 1164788667 | Troy Benjamin Howard | Otolaryngology | 101 E Minnesota St, Suite 210, Rapid City, SD 57701-7756 | 2012-04-09 |
| 1376831933 | Avera St. Luke's | Otolaryngology | 820 1st Ave Se, Suite 100, Aberdeen, SD 57401 | 2011-07-18 |
| 1699973263 | Dale Eugene Gunderson | Otolaryngology | 504 E Monroe St, Rapid City, SD 57701 | 2007-07-05 |
| 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.