| Avera Medical Group Hartington | |
|
405 W Darlene St Hartington NE 68739-4806 | |
| (402) 254-3935 | |
| (402) 254-2393 |
| Full Name | Avera Medical Group Hartington |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 405 W Darlene St, Hartington, Nebraska |
| Authorized Official Name and Position | Pamela J Rezac (PRESIDENT & CEO) |
| Authorized Official Contact | 6056688000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Medical Group Hartington 1000 W 4th St Ste 8 Yankton SD 57078-3700 Ph: (605) 655-1201 | Avera Medical Group Hartington 405 W Darlene St Hartington NE 68739-4806 Ph: (402) 254-3935 |
| NPI Number | 1508813957 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 02/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508813957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Avera Medical Group Hartington Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 405 W Darlene St, Hartington, NE 68739 Phone: 402-254-3935 Fax: 402-254-2393 |