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1588622187

NPI Code Detail

MEDICARE: PHELPS MEMORIAL HEALTH CENTER

MEDICARE: PHELPS MEMORIAL HEALTH 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	282NC0060X	Critical Access Hospital	610003	NE
2	275N00000X	Medicare Defined Swing Bed Hospital Unit	610003	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	N002951	OTHER		TRICARE HOSPITAL
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0409	OTHER	NE	BCBS SWINGBED
5	142918400	OTHER		US DEPT OF LABOR
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588622187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHELPS MEMORIAL HEALTH CENTER

Provider Business Mailing Address
First Line	:	1215 TIBBALS ST
Second Line	:
City	:	HOLDREGE
State	:	NE
Zip	:	68949-1255
Country	:	US
Telephone Number	:	308-995-2211
Fax Number	:	308-995-3223

Provider Business Practice Location Address
First Line	:	1215 TIBBALS ST
Second Line	:
City	:	HOLDREGE
State	:	NE
Zip	:	68949-1255
Country	:	US
Telephone Number	:	308-995-2211
Fax Number	:	308-995-3223

Authorized Official
Title or Position	:	CEO
Name	:	MR. MARK D HARREL
Credential	:
Telephone Number	:	308-995-2211

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	06/06/2019

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Directions to “PHELPS MEMORIAL HEALTH CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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