MEDICARE: HOWARD COUNTY MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1265885479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOWARD COUNTY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	1113 SHERMAN ST
Second Line	:	PO BOX 406
City	:	SAINT PAUL
State	:	NE
Zip	:	68873-1546
Country	:	US
Telephone Number	:	308-754-4421
Fax Number	:	308-754-2303

Provider Business Practice Location Address
First Line	:	130 N 6TH ST
Second Line	:
City	:	LOUP CITY
State	:	NE
Zip	:	68853-8005
Country	:	US
Telephone Number	:	308-754-4421
Fax Number	:	308-754-2303

Authorized Official
Title or Position	:	CFO
Name	:	MORGAN L MEYER
Credential	:
Telephone Number	:	308-754-4421

Provider Enumeration Date	:	07/22/2016
Last Update Date	:	09/01/2020

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