# SACRED HEART HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SACRED HEART HEALTH SERVICES
- **Other names:** Avera Medical Group Willcockson Eye Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003585548
- **Legal business name:** SACRED HEART HEALTH SERVICES
- **Authorized official:** DOUGLAS W EKEREN (PRESIDENT/CEO)
- **Authorized official phone:** (605) 668-8322

## Contact information

- **Practice address:** 415 W 3RD ST, YANKTON, SD 57078-4201
- **Practice address phone:** (605) 665-9638
- **Practice address fax:** (605) 665-0526
- **Mailing address:** PO BOX 860674, MINNEAPOLIS, MN 55486-0605
- **Mailing address phone:** (605) 665-9638
- **Mailing address fax:** (605) 665-0526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2021
- **Last updated:** 01/07/2025