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Contact Information

AVERA HOLY FAMILY
826 N 8TH ST
ESTHERVILLE, IA51334-1528
 Phone: 712-362-2631
 Fax: 712-362-2636
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for AVERA HOLY FAMILY

NPI # 1124056338
LBN Legal business name AVERA HOLY FAMILY
Authorized official DEB HERZBERG - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2006
Last updated 07/02/2021 - About 5 years ago
Identifiers
IA Medicaid 0077057
IA Medicaid 0272773
MN Medicaid 677247100
Other 608921HO BC MN CRNA
IA Other 32245 CARDIOLOGY SERV BL CR IA
IA Other 06272 CRNA BL CR IA
IA Other 27277 ER SERV BL CR IA
MN Other 74065HO ER CARD BL MN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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