Healthcare Provider Details

I. General information

NPI: 1326398512
Provider Name (Legal Business Name): SACRED HEART HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2012
Last Update Date: 03/31/2020
Certification Date: 03/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 CHASE AVE
CREIGHTON NE
68729-2893
US

IV. Provider business mailing address

1000 W 4TH ST STE 8
YANKTON SD
57078-3700
US

V. Phone/Fax

Practice location:
  • Phone: 402-358-5335
  • Fax: 402-358-3598
Mailing address:
  • Phone: 605-655-1414
  • Fax: 605-655-1420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DOUGLAS EKEREN
Title or Position: CEO/PRESIDENT
Credential:
Phone: 605-668-8321