NPIMap

Organization Active NPI

Sacred Heart Health Services

Doing business as Avera Pierce Clinic

  • Rural Health Clinic/Center
  • Pierce, NE
National Provider Identifier
1336408913
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SACRED HEART HEALTH SERVICES
Doing business as
Avera Pierce Clinic
Practice address
503 N 6TH St
Pierce, NE 68767-1019
Phone
(402) 329-6780
NPI assigned
May 16, 2012
Last updated
Dec 31, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AVERA HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Authorized official

Name
Victoria M Hanson
Title
President/Ceo
Phone
(605) 668-8321

Specialties & licenses 1

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

Addresses

Primary practice location

503 N 6TH St
Pierce, NE 68767-1019

Mailing address

PO Box 86370
Sioux Falls, SD 57118-6370
Phone (605) 322-4933

Other identifiers 1

IdentifierTypeStateIssuer
NA1399OtherNEMEDICARE

Other names 1

  • Avera Pierce Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091020000415 NE Part B Supplier - Clinic/Group Practice 6103729066 Receives reassigned benefits from 47 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Creighton, NE; Verdigre, NE; Pierce, NE; Oniell, NE; Oneill, NE; Norfolk, NE; Niobrara, NE; Hartington, NE…
O20160822002463 NE Part A Provider - Rural Health Clinic 6103729066 Practice locations: Pierce, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336408913. Details of each certification follow.

Rural health clinic certification: CCN 288509

Legal name
SACRED HEART HEALTH SERVICES
Doing business as
AVERA MEDICAL GROUP PIERCE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 1, 2010
Last certification
Aug 5, 2024
Ownership / control type
2B
Most recent change of ownership
Jul 1, 2012 (1 total)
Organization structure
CorporationNon-profit
Enrollment address
503 N 6TH St
Pierce, NE 68767-1019
Related CCNs
430012

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
28D1072700Avera Medical Group Pierce503 N 6TH Street, Pierce, NE 68767ComplianceFeb 25, 2028

National Provider Directory

National Provider Directory

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Barbara Rezac Individual Corporate DirectorBoard Member Jun 30, 2025
Richard D Strom Individual Corporate DirectorBoard Member Jul 1, 2017
Steve Schmeichel Individual Corporate DirectorBoard Member Jul 1, 2024
Debra Ann Kolecka Individual Corporate DirectorBoard Member Jul 1, 2017
Lucille F Welbig Individual OtherBoard Member Aug 1, 2016
Steve Schindler Individual Corporate DirectorBoard Member Jul 1, 2020
Amy Leon Individual Corporate DirectorBoard Member Jul 1, 2020
Bernie Hunhoff Individual Corporate DirectorBoard Member Jul 1, 2020
Brian Steward Individual Corporate DirectorBoard Member Jul 1, 2018
Victoria M Hanson Individual Corporate OfficerPresident/Ceo May 3, 2025
W-2 Managing Employee May 3, 2025
John J Hurley Individual Corporate DirectorBoard Member Jul 1, 2020
Arthur Moeller Individual Corporate DirectorBoard Member Jul 1, 2024
Amy Miner Individual Corporate DirectorBoard Member Jul 1, 2025
Avera Health Organization, Sioux Falls, SD Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 2011 100%
Operational/Managerial Control Feb 1, 2011
Jonathon P Demuth Individual Corporate DirectorBoard Member Jul 1, 2025

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avera St Anthonys HospitalOneill, NE, CCN 281329 Hospital Operational/Managerial Control Feb 1, 1998
St Michael's Hospital, Inc.Tyndall, SD, CCN 431327 Hospital Operational/Managerial Control Mar 1, 2001
St Michael's Hospital, Inc.Tyndall, SD, CCN 43Z327 Hospital Operational/Managerial Control Mar 1, 2001
Avera St Anthonys HospitalOneill, NE, CCN 28Z329 Hospital Operational/Managerial Control Feb 1, 1998
Wakonda Heritage ManorWakonda, SD, CCN 435094 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 17, 1994
Sep 4, 2025
Sunset Manor Inc.Irene, SD, CCN 435100 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 1994
Aug 28, 2025
Bon Homme Family PracticeAvon, SD, CCN 433418 Rural health clinic Operational/Managerial Control Mar 1, 2001
Bon Homme Family PracticeTyndall, SD, CCN 433416 Rural health clinic Operational/Managerial Control Mar 1, 2001
Avera Medical Group O'NeillOneill, NE, CCN 288507 Rural health clinic Operational/Managerial Control Feb 1, 1998

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 90

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 90

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1336408913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86370",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571186370",
            "telephone_number": "605-322-4933",
            "fax_number": "605-504-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N 6TH ST",
            "city": "PIERCE",
            "state": "NE",
            "postal_code": "687671019",
            "telephone_number": "402-329-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVERA HEALTH",
        "enumeration_date": "2012-05-16",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "605-668-8321"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NA1399",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Pierce Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pierce, NE

Sources for this page

Verify at the official NPI Registry.