Sacred Heart Rural Health Clinics

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SACRED HEART RURAL HEALTH CLINICS

Doing business as

Avera Medical Group Ear, Nose & Throat Yankton

Practice address

409 Summit St
Suite 2800
Yankton, SD 57078-3734

Phone

(605) 665-6820

Fax

(605) 665-6821

NPI assigned

Apr 23, 2009

Last updated

Mar 6, 2012By the provider in NPPES

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

Mrs. Pam Rezac

Title

Ceo/President

Phone

(605) 668-8000

Specialties & licenses 1

Addresses

Other names 1

• Avera Medical Group Ear, Nose & Throat Yankton Doing business as

Part of

Sacred Heart Hospital

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1669616496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 4TH ST",
            "address_2": "SUITE 8",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783730",
            "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": "409 SUMMIT ST",
            "address_2": "SUITE 2800",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783734",
            "telephone_number": "605-665-6820",
            "fax_number": "605-665-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART RURAL HEALTH CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SACRED HEART HEALTH SERVICES",
        "enumeration_date": "2009-04-23",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "REZAC",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "605-668-8000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avera Medical Group Ear, Nose & Throat Yankton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sacred Heart Health Services (Avera Sacred Heart Hospital)
• Sacred Heart Health Services
• Sacred Heart Health Services (Avera Sacred Heart Hospital)
• Sacred Heart Health Services (Avera Sacred Heart Hospital)
• Sacred Heart Health Services (Avera Medical Group Radiology Yankton)
• Sacred Heart Rural Health Clinics (Yankton Foot & Ankle Center)
• Heather Yvonne Salis, LCSW
• Sanford Health Network (Yankton Family Planning)
• Cole Sawatzke
• Rebecca A Sawatzke, PA-C

• Otolaryngology Physician in Yankton, SD
• Providers in Yankton, SD by specialty
• Otolaryngology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.