Organization
SACRED HEART HEALTH SERVICES
Active
Other names
Avera Medical Group Laflan
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS EKEREN (CEO/PRESIDENT)
(605) 668-8321
Entity
Organization
Contact information
Practice address
804 CHASE AVE, CREIGHTON, NE 68729-2893
(402) 358-5335
(402) 358-3598
Mailing address
1000 W 4TH ST STE 8, YANKTON, SD 57078-3700
(605) 655-1414
(605) 655-1420
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA1399
MEDICARE
NE
Enumeration date
09/14/2012
Last updated
03/31/2020
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