Organization
SACRED HEART RURAL HEALTH CLINICS
Active
Other names
Avera Medical Group Niobrara
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAM REZAC (PRESIDENT/CEO)
(605) 668-8322
Entity
Organization
Contact information
Practice address
25410 PARK AVE, APARTMENT E, NIOBRARA, NE 68760-7044
(402) 857-3398
(402) 857-3315
Mailing address
1000 W 4TH ST, SUITE 8, YANKTON, SD 57078-3730
(605) 655-1201
(605) 655-1210
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025008100
—
NE
01
—
921087
DAKOTACARE
NE
Enumeration date
10/02/2006
Last updated
02/07/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us