NPI 1861787194 · live from the CMS NPI Registry
Avera St Anthonys Hospital
Clinic/Center, Rural Health in Oneill, NE. National Provider Identifier 1861787194, active.
NPI record
| NPI | 1861787194 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Rural Health 261QR1300X |
| Practice location | 300 N 2nd St, Suite 100, Oneill, NE 68763 |
| Practice phone | 402-336-2900 |
| Mailing address | Po Box 270, Oneill, NE 68763 |
| Enumerated | June 15, 2011 |
| Last updated | July 6, 2021 |
| Authorized official | Todd Consbruck, Ceo |
| Other names | Avera Medical Group O'Neill |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | — |
| Family Medicine | 207Q00000X | — |
| Internal Medicine | 207R00000X | — |
| Nurse Practitioner | 363L00000X | — |
| Clinic/Center, Rural Health primary | 261QR1300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.