Provider Demographics
NPI:1740019124
Name:SACRED HEART HEALTH SERVICES
Entity type:Organization
Organization Name:SACRED HEART HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:EKEREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-668-8322
Mailing Address - Street 1:PO BOX 860674
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55486-0605
Mailing Address - Country:US
Mailing Address - Phone:056-688-0006
Mailing Address - Fax:605-665-0170
Practice Address - Street 1:409 SUMMIT ST STE 2800
Practice Address - Street 2:
Practice Address - City:YANKTON
Practice Address - State:SD
Practice Address - Zip Code:57078-3735
Practice Address - Country:US
Practice Address - Phone:605-655-1910
Practice Address - Fax:605-655-1915
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AVERA SACRED HEART HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-01
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty