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AVERA MEDICAL GROUP CROFTON
NPI 1336196617
Clinic/Center - Rural Health in Crofton, NE

Active since May 30, 2006
203 W MAIN ST, CROFTON, NE 68730(402) 388-2343(402) 388-2554 Get Directions Write a Review

NPPES record last updated: February 8, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avera Medical Group Crofton NPPES

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

AVERA MEDICAL GROUP CROFTON (NPI 1336196617) is a healthcare organization registered as a rural health in Crofton, Nebraska and active in the NPI registry since May 2006. The organization lists Pamela J Rezac, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1336196617
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSACRED HEART RURAL HEALTH CLINICS
Location Address203 W MAIN STCrofton, NE 68730-3307
Mailing Address1000 W 4th St Ste 8Yankton, SD 57078-3700 · (605) 655-1201 · Fax (605) 655-1210
Phone(402) 388-2343
Fax(402) 388-2554
Organization SubpartNo
Authorized OfficialPamela J RezacPresident & Ceo · (605) 668-8000
Enumeration DateMay 30, 2006
Last NPPES UpdateFebruary 8, 2012
✔ NPI 1336196617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
203 W MAIN ST, Crofton, NE 68730
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Other Names 1

Doing Business AsAvera Medical Group Crofton

Other Identifiers 4

Medicaid=========22NE
Medicaid=========12NE
Medicare ID-Type Unspecified283427NE · Rural Health Clinic #
Medicare ID-Type Unspecified098965NE · Non-rural Health Clinic #

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JENA MARIE NELSON
Nurse Practitioner (Family)
203 W MAIN ST
CROFTON, NE 68730
Knox County (402) 388-2343
SACRED HEART HEALTH SERVICES
Clinic/Center (Rural Health)
203 W MAIN ST
CROFTON, NE 68730
Knox County (402) 388-2343

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 Sacred Heart Rural Health Clinics's NPI number?

The NPI number for Sacred Heart Rural Health Clinics is 1336196617. It was assigned to this organization in the NPPES registry on May 30, 2006. The provider is doing business as Avera Medical Group Crofton.

Where is Sacred Heart Rural Health Clinics located?

Sacred Heart Rural Health Clinics is located at 203 W Main St, Crofton, NE 68730. The listed phone number is (402) 388-2343.

What is Sacred Heart Rural Health Clinics's specialty?

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

When was this NPI record last updated?

The NPPES record for Sacred Heart Rural Health Clinics was last updated on February 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.