Organization
AVERA ST ANTHONYS HOSPITAL
Active
Parent organization
AVERA ST ANTHONYS HOSPITAL
Other names
Avera St Anthony's Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVERA ST ANTHONYS HOSPITAL
Authorized official
MR. TODD E. CONSBRUCK (CEO)
(402) 336-2611
Entity
Organization
Contact information
Practice address
300 NORTH 2ND ST, ONEILL, NE 68763-1514
(402) 336-2611
Mailing address
PO BOX 270, ONEILL, NE 68763-0270
(402) 336-5154
(402) 336-5137
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
ESRD028
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H0118
BC HOSPITAL #
NE
Enumeration date
08/14/2006
Last updated
07/06/2021
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