| Organization Name: | AVERA ST ANTHONYS HOSPITAL |
| NPI Number: | 1003182072 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD J. CORK (PRESIDENT/CEO) |
| Mailing Address: | 202 Nebraska St Ewing |
| State: | NE US |
| Postal Code: | 687359513 |
| Phone Number: | 4026267546 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2012 |
| NPI Last Update Date: | 05/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |