| Avera Medical Group Niobrara | |
|
25410 Park Ave Apartment E Niobrara NE 68760-7044 | |
| (402) 857-3398 | |
| (402) 857-3315 |
| Full Name | Avera Medical Group Niobrara |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 25410 Park Ave, Niobrara, Nebraska |
| Authorized Official Name and Position | Pam Rezac (PRESIDENT/CEO) |
| Authorized Official Contact | 6056688322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avera Medical Group Niobrara 1000 W 4th St Suite 8 Yankton SD 57078-3730 Ph: (605) 655-1201 | Avera Medical Group Niobrara 25410 Park Ave Apartment E Niobrara NE 68760-7044 Ph: (402) 857-3398 |
| NPI Number | 1801989967 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 02/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801989967 | NPI | - | NPPES |
| 921087 | Other | NE | DAKOTACARE |
| 10025008100 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Santee Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 S Visiting Eagle St, Niobrara, NE 68760 Phone: 402-857-2300 Fax: 402-857-2416 | |
Santee Sioux Tribe Of Nebraska Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Visiting Eagle St, Niobrara, NE 68760 Phone: 402-857-2300 Fax: 402-857-2910 | |
Avera Medical Group Niobrara Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25410 Park Ave Apt E, Niobrara, NE 68760 Phone: 402-857-3398 Fax: 402-857-3315 | |
Santee Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Visiting Eagle St, Niobrara, NE 68760 Phone: 402-857-2300 Fax: 402-857-2315 |