NPIMap

Organization Active NPI

Avera St Anthonys Hospital

Doing business as Avera Medical Group Page

  • Rural Health Clinic/Center
  • Page, NE
National Provider Identifier
1184990152
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
AVERA ST ANTHONYS HOSPITAL
Doing business as
Avera Medical Group Page
Practice address
103 N 5TH St
Page, NE 68766-5018
Phone
(402) 338-5452
NPI assigned
Mar 23, 2012
Last updated
Dec 2, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
AVERA ST ANTHONYS HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kayleen Lee
Title
Ceo
Phone
(402) 336-5140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

103 N 5TH St
Page, NE 68766-5018

Mailing address

PO Box 270
Oneill, NE 68763-0270
Phone (402) 336-2900

Other names 1

  • Avera Medical Group Page Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2040589Avera Medical Group Page103 North 5TH Street, Page, NE 68766Certificate of waiverMay 3, 2028

National Provider Directory

National Provider Directory
Tax ID family
Anthony E Akainda MD8 organizations share this tax ID, including this one
Part of
Anthony E Akainda MD

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1184990152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687630270",
            "telephone_number": "402-336-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N 5TH ST",
            "city": "PAGE",
            "state": "NE",
            "postal_code": "687665018",
            "telephone_number": "402-338-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERA ST ANTHONYS HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVERA ST ANTHONYS HOSPITAL",
        "enumeration_date": "2012-03-23",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KAYLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-336-5140"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Medical Group Page",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avera Medical Group Page",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Page, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.