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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
1133V00000XRegistered Dietitian
2207X00000XOrthopaedic Surgery Physician
3363A00000XPhysician Assistant
4367500000XCertified Registered Nurse Anesthetist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
181044OTHERNEBCBS OF NE PROFESSIONAL

General Provider Information

NPI Number : 1871528851
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 : 308-995-3367
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 : 308-995-3367
Authorized Official
Title or Position : CEO
Name : MR. MARK D HARREL
Credential :
Telephone Number : 308-995-2211
Provider Enumeration Date : 07/11/2006
Last Update Date : 06/06/2019

Similar Medicare Providers

1427028737 — DR. HANS M ZINNECKER MD
Practice Location Address:
1215 TIBBALS ST
HOLDREGE, NE
68949-1255
Practice Phone: 507-454-3680
Practice Fax:
1629035936 — PHELPS MEMORIAL HEALTH CENTER
Practice Location Address:
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HOLDREGE, NE
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1588622187 — PHELPS MEMORIAL HEALTH CENTER
Practice Location Address:
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HOLDREGE, NE
68949-1255
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Practice Fax: 308-995-3223
1477511822 — PHELPS MEMORIAL HEALTH CENTER
Practice Location Address:
1215 TIBBALS ST
HOLDREGE, NE
68949-1255
Practice Phone: 308-995-2211
Practice Fax: 308-995-3223
1982662516 — PHELPS MEMORIAL HEALTH CENTER
Practice Location Address:
1215 TIBBALS ST
HOLDREGE, NE
68949-1255
Practice Phone: 308-995-4375
Practice Fax: 308-995-4548
1174559496 — CITY OF HOLDREGE
Practice Location Address:
1215 TIBBALS ST
HOLDREGE, NE
68949-1255
Practice Phone: 308-995-3275
Practice Fax: 308-995-3223

Directions to “PHELPS MEMORIAL HEALTH CENTER ” Practice Location

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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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