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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
1282NC0060XCritical Access Hospital610003NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1142918400OTHERUS DEPT OF LABOR
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3N002951OTHERTRICARE HOSPITAL
400097OTHERNEBCBS HOSPITAL
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629035936
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 : 04/28/2006
Last Update Date : 06/06/2019

Similar Medicare Providers

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Practice Location Address:
1215 TIBBALS ST
HOLDREGE, NE
68949-1255
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68949-1255
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1982662516 — PHELPS MEMORIAL HEALTH CENTER
Practice Location Address:
1215 TIBBALS ST
HOLDREGE, NE
68949-1255
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1174559496 — CITY OF HOLDREGE
Practice Location Address:
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HOLDREGE, NE
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1871528851 — PHELPS MEMORIAL HEALTH CENTER
Practice Location Address:
1215 TIBBALS ST
HOLDREGE, NE
68949-1255
Practice Phone: 308-995-2211
Practice Fax: 308-995-3367

Directions to “PHELPS MEMORIAL HEALTH CENTER ” Practice Location

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