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AVERA MEDICAL GROUP NIOBRARA
NPI 1801989967
Clinic/Center - Rural Health in Niobrara, NE

Active since October 02, 2006
25410 PARK AVE, APARTMENT E, NIOBRARA, NE 68760(402) 857-3398(402) 857-3315 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avera Medical Group Niobrara NPPES

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

AVERA MEDICAL GROUP NIOBRARA (NPI 1801989967) is a healthcare organization registered as a rural health in Niobrara, Nebraska and active in the NPI registry since October 2006. The organization lists Pam Rezac, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1801989967
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSACRED HEART RURAL HEALTH CLINICS
Location Address25410 PARK AVE, APARTMENT ENiobrara, NE 68760-7044
Mailing Address1000 W 4th St, Suite 8Yankton, SD 57078-3730 · (605) 655-1201 · Fax (605) 655-1210
Phone(402) 857-3398
Fax(402) 857-3315
Organization SubpartNo
Authorized OfficialPam RezacPresident/ceo · (605) 668-8322
Enumeration DateOctober 2, 2006
Last NPPES UpdateFebruary 7, 2012
✔ NPI 1801989967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
25410 PARK AVE, Niobrara, NE 68760
Open in Google Maps ↗

Other Names 1

Doing Business AsAvera Medical Group Niobrara

Other Identifiers 4

Medicare NSC0747440004NE
Medicare ID-Type Unspecified283460NE · Rural Health Medicare
Medicaid10025008100NE
Other921087NE · Dakotacare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans.Insurance ›

Other Providers at the Same Location NPPES

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

MRS. DANIELLE WALLINGA P.A.
Physician Assistant (Medical)
25410 PARK AVE, APARTMENT E
NIOBRARA, NE 68760
Knox County (402) 857-3398

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 1801989967. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Avera Medical Group Niobrara.

Where is Sacred Heart Rural Health Clinics located?

Sacred Heart Rural Health Clinics is located at 25410 Park Ave Apartment E, Niobrara, NE 68760. The listed phone number is (402) 857-3398.

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.

What insurance does Sacred Heart Rural Health Clinics accept?

Health plans from Avera Health Plans list Sacred Heart Rural Health Clinics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sacred Heart Rural Health Clinics was last updated on February 7, 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.