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Organization
SACRED HEART RURAL HEALTH CLINICS
Active
Organization
SACRED HEART RURAL HEALTH CLINICS
Active
Parent organization
SACRED HEART HEALTH SERVICES D/B/A AVERA SACRED HEART HOSPITAL
Other names
Avera Holt County Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SACRED HEART HEALTH SERVICES D/B/A AVERA SACRED HEART HOSPITAL
Authorized official
PAMELA REZAC (PRESIDENT AND CEO)
(605) 668-8322
Entity
Organization
Contact information
Practice address
555 E JOHN ST, ONEILL, NE 68763-1355
(402) 336-4113
Mailing address
PO BOX 551, ONEILL, NE 68763-0551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5805604
AETNA
NE
01
—
9237769
DAKOTA CARE
NE
Enumeration date
12/20/2005
Last updated
05/10/2011
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