Organization
SACRED HEART HEALTH SERVICES
Active
Organization
SACRED HEART HEALTH SERVICES
Active
Parent organization
AVERA HEALTH
Other names
Avera Niobrara Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVERA HEALTH
Authorized official
VICTORIA M HANSON (PRESIDENT/CEO)
(605) 668-8321
Entity
Organization
Contact information
Practice address
25410 PARK AVE APT E, NIOBRARA, NE 68760-7044
(402) 857-3398
(402) 857-3315
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-4933
(605) 504-9489
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
05/13/2012
Last updated
12/31/2025
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