Organization
AVERA ST ANTHONYS HOSPITAL
Active
Other names
Avera St. Anthony's Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD E. CONSBRUCK (CEO)
(402) 336-2611
Entity
Organization
Contact information
Practice address
300 N 2ND ST, O'NEILL, 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
282NC0060X
Critical Access Hospital
Primary
410002
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H00118
BC-NE HOSP PROV #
NE
01
—
H136
MIDLANDS CHOICE PROVIDER
NE
Enumeration date
06/14/2006
Last updated
07/06/2021
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