Organization
AVERA HOLY FAMILY
Active
Other names
Avera Holy Family Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEB HERZBERG (CEO)
(712) 362-6160
Entity
Organization
Contact information
Practice address
826 N 8TH ST, ESTHERVILLE, IA 51334-1528
(712) 362-2631
(712) 362-2636
Mailing address
826 N 8TH ST, ESTHERVILLE, IA 51334-1528
(712) 362-2631
(712) 362-2636
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
320014H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016HHO
BLUE CROSS CAH
MN
05
—
0600023
—
IA
01
—
60002
WELLMARK CAH
IA
05
—
677247100
—
MN
Enumeration date
05/19/2006
Last updated
07/02/2021
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