Sacred Heart Rural Health Clinics

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

288508 Issued in NE

Legal business name

SACRED HEART RURAL HEALTH CLINICS

Practice address

403 E Hynes Ave
Oneill, NE 68763-1301

Phone

(402) 336-2622

Fax

(402) 336-3240

NPI assigned

Mar 19, 2008

Organization subpart

Yes

Parent organization

SACRED HEART HEALTH SERVICESAs reported in NPPES

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

Authorized official

Name

Wendy Kelly

Title

Clinic Manager

Phone

(402) 336-2622

Specialties & licenses 1

Addresses

Other names 1

• Avera ONeill Family Medicine Doing business as

Part of

Sacred Heart Cancer Cen

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1417128299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E HYNES AVE",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631301",
            "telephone_number": "402-336-2622",
            "fax_number": "402-336-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E HYNES AVE",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631301",
            "telephone_number": "402-336-2622",
            "fax_number": "402-336-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART RURAL HEALTH CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SACRED HEART HEALTH SERVICES",
        "enumeration_date": "2008-03-19",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "402-336-2622"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "288508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera ONeill Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Richards
• Cheryl Riege
• Donella G Ross
• Jodi Ross
• Amy Rowse
• Sacred Heart Rural Health Clinics
• Robert E Sanders
• Linda Faye Sanderson
• Sandhills Investors
• Bethany Ann Schacht

• Family Medicine Physician in Oneill, NE
• Providers in Oneill, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.