Organization · Type 2 NPI

Avera ST Anthonys Hospital

Rural Health Clinic/Center · Page, NE

NPI number 1184990152 Active

Practice location

103 N 5th St
Page, NE 68766-5018

Call (402) 338-5452 Map

Mailing address

PO Box 270
Oneill, NE 68763-0270

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1184990152
Entity type: Organization (Type 2)
Issued: Mar 23, 2012
Last updated: Dec 2, 2022
Status: Active
Subpart: Yes of Avera ST Anthonys Hospital

Other names

<unavail>
Avera Medical Group Page · doing business as
Avera Medical Group Page · doing business as

Authorized official

Kayleen Lee
CEO
(402) 336-5140

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1184990152

Avera ST Anthonys Hospital's National Provider Identifier is 1184990152, issued on Mar 23, 2012. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Page, NE. The record was last updated on Dec 2, 2022.