Sacred Heart Rural Health Clinics

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SACRED HEART RURAL HEALTH CLINICS

Doing business as

Avera Medical Group Crofton

Practice address

203 W Main St
Crofton, NE 68730-3307

Phone

(402) 388-2343

Fax

(402) 388-2554

NPI assigned

May 30, 2006

Last updated

Feb 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela J Rezac

Title

President & Ceo

Phone

(605) 668-8000

Specialties & licenses 1

Addresses

Other names 1

• Avera Medical Group Crofton Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sacred Heart Health Services

  dba Avera Creighton Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Creighton, NE
  • NPI 1821392911

  Member Of

  NPD member

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1336196617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 4TH ST STE 8",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783700",
            "telephone_number": "605-655-1201",
            "fax_number": "605-655-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W MAIN ST",
            "city": "CROFTON",
            "state": "NE",
            "postal_code": "687303307",
            "telephone_number": "402-388-2343",
            "fax_number": "402-388-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART RURAL HEALTH CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "REZAC",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "605-668-8000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Medical Group Crofton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonnetta Marlene Mattison, RN
• Jena Marie Nelson
• Misty Dawn Ollendick
• Holly Pedersen
• Sacred Heart Health Services (Avera Crofton Clinic)
• Marnie Herman Schieffer, LCSW
• Haley Schmidt, MA, SLP-CCC
• Bridget Lynn Thoene, MSN, RN
• Todd David Thoene
• Nicole J. Turner Beardslee, LIMHP LADC

• Rural Health Clinic/Center in Crofton, NE
• Providers in Crofton, NE by specialty
• Rural Health Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.