NPIMap

Organization Active NPI

Sacred Heart Rural Health Clinics

Doing business as Avera Holt County Medical Clinic

  • Family Medicine Physician
  • O'Neill, NE
National Provider Identifier
1669458899
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SACRED HEART RURAL HEALTH CLINICS
Doing business as
Avera Holt County Medical Clinic
Practice address
555 E John St
Oneill, NE 68763-1355
Phone
(402) 336-4113
NPI assigned
Dec 20, 2005
Last updated
May 10, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
SACRED HEART HEALTH SERVICES D/B/A AVERA SACRED HEART HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Pamela Rezac
Title
President and Ceo
Phone
(605) 668-8322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

555 E John St
Oneill, NE 68763-1355

Mailing address

PO Box 551
Oneill, NE 68763-0551

Other identifiers 2

IdentifierTypeStateIssuer
5805604OtherNEAETNA
9237769OtherNEDAKOTA CARE

Other names 1

  • Avera Holt County Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Sacred Heart Hospital

Locations

555 E John St
Oneill, NE 68763
Phone (402) 336-4113

1000 W 4th St
Ste 12
Yankton, SD 57078
Phone (605) 668-8601

Practitioners & affiliated clinicians

Practitioners 10

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": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1669458899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687630551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E JOHN ST",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631355",
            "telephone_number": "402-336-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART RURAL HEALTH CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SACRED HEART HEALTH SERVICES D/B/A AVERA SACRED HEART HOSPITAL",
        "enumeration_date": "2005-12-20",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "REZAC",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "605-668-8322"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5805604",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTA CARE",
            "identifier": "9237769",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Holt County Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O'Neill, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.