Avera Medical Group O'Neill

LBN: Avera St Anthonys Hospital
Avera Medical Group O'Neill is an health care organization with primary practice located at 300 N 2Nd St Suite 100, Oneill NE 68763-1519. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Avera St Anthonys Hospital can be contacted via phone (402) 336-2900, or through Consbruck, Todd E. via phone (402) 336-2611.

Contact Information

Primary practice address
300 N 2Nd St Suite 100 Oneill NE 68763-1519
Phone: (402) 336-2900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Consbruck, Todd E.
Phone: (402) 336-2611

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1861787194
LBN Legal business name Avera St Anthonys Hospital
DBA Doing business as Avera Medical Group O'Neill
Authorized official Consbruck, Todd E.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 15th, 2011
Last updated Jul 6th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861787194 NPPES
Nebraska MEDICAID 10026170000
Nebraska MEDICAID 10026174900

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