Organization
SACRED HEART HEALTH SERVICES
Active
Parent organization
SACRED HEART HEALTH SERVICES
Other names
Avera Creighton Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
SACRED HEART HEALTH SERVICES
Authorized official
DOUGLAS EKEREN (PRESIDENT/CEO)
(605) 668-8321
Entity
Organization
Contact information
Practice address
1503 MAIN ST, CREIGHTON, NE 68729-3019
(402) 358-5700
(402) 358-5769
Mailing address
PO BOX 186, CREIGHTON, NE 68729-0186
(402) 358-5700
(402) 358-5769
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
490001
NE
282NC0060X
Critical Access Hospital
490001
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025944400
—
NE
01
—
2818168
NCPDP
NE
Enumeration date
01/04/2011
Last updated
07/06/2021
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