Organization Name: | AVERA ST ANTHONYS HOSPITAL |
NPI Number: | 1598878472 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD J CORK (CEO) |
Mailing Address: | 300 North 2nd St Oneill |
State: | NE US |
Postal Code: | 687631514 |
Phone Number: | 4023362611 |
Fax Number: | 4023365135 |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 05/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 410002 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |