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AVERA MEDICAL GROUP PAGE
NPI 1184990152
Clinic/Center - Rural Health in Page, NE

Active since March 23, 2012CLIA 28D2040589 · Waiver

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avera Medical Group Page NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA MEDICAL GROUP PAGE (NPI 1184990152) is a healthcare organization registered as a rural health in Page, Nebraska and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Kayleen Lee, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184990152
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameAVERA ST ANTHONYS HOSPITAL
Location Address103 N 5TH STPage, NE 68766-5018
Mailing AddressPo Box 270Oneill, NE 68763-0270 · (402) 336-2900
Phone(402) 338-5452
Organization SubpartYes
Authorized OfficialKayleen LeeCeo · (402) 336-5140
Enumeration DateMarch 23, 2012
Last NPPES UpdateDecember 2, 2022
NPPES CertifiedDecember 2, 2022
✔ NPI 1184990152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
103 N 5TH ST, Page, NE 68766
Open in Google Maps ↗

Other Names 1

Doing Business AsAvera Medical Group Page

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D2040589

Avera Medical Group Page · Page, NE
Active · expires May 3, 2028
CLIA Number28D2040589
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorMs. Kristin K. Klein
Laboratory Phone(402) 338-5452
Laboratory LocationAvera Medical Group Page103 North 5th Street, Page, NE 68766
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera St Anthonys Hospital's NPI number?

The NPI number for Avera St Anthonys Hospital is 1184990152. It was assigned to this organization in the NPPES registry on March 23, 2012. The provider is doing business as Avera Medical Group Page.

Where is Avera St Anthonys Hospital located?

Avera St Anthonys Hospital is located at 103 N 5th St, Page, NE 68766. The listed phone number is (402) 338-5452.

What is Avera St Anthonys Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Avera St Anthonys Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2040589) is associated with this NPI, valid through May 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Avera St Anthonys Hospital was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.