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AVERA MEDICAL GROUP SPENCER
NPI 1629344692
Clinic/Center - Rural Health in Spencer, NE

Active since March 23, 2012CLIA 28D2040591 · Waiver
103 S THAYER ST, SPENCER, NE 68777(402) 589-1328 Get Directions Write a Review

NPPES record last updated: May 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avera Medical Group Spencer NPPES

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

AVERA MEDICAL GROUP SPENCER (NPI 1629344692) is a healthcare organization registered as a rural health in Spencer, Nebraska and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Ronald J. Cork, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1629344692
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameAVERA ST ANTHONYS HOSPITAL
Location Address103 S THAYER STSpencer, NE 68777-9784
Mailing AddressPo Box 270Oneill, NE 68763-0270 · (402) 336-2900
Phone(402) 589-1328
Organization SubpartYes
Authorized OfficialRonald J. CorkPresident/ceo · (402) 336-2611
Enumeration DateMarch 23, 2012
Last NPPES UpdateMay 1, 2012
✔ NPI 1629344692 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 S THAYER ST, Spencer, NE 68777
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Other Names 1

Doing Business AsAvera Medical Group Spencer

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 28D2040591

Avera Medical Group Spencer · Spencer, NE
Active · expires May 3, 2028
CLIA Number28D2040591
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorMs. Kristin K. Klein
Laboratory Phone(402) 589-1328
Laboratory LocationAvera Medical Group Spencer103 South Thayer Street, Spencer, NE 68777
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 1629344692. It was assigned to this organization in the NPPES registry on March 23, 2012. The provider is doing business as Avera Medical Group Spencer.

Where is Avera St Anthonys Hospital located?

Avera St Anthonys Hospital is located at 103 S Thayer St, Spencer, NE 68777. The listed phone number is (402) 589-1328.

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 28D2040591) 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 May 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.