Healthcare Provider Details

I. General information

NPI: 1821161043
Provider Name (Legal Business Name): CAMBRIDGE MEMORIAL HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 03/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 HIGHWAY 6/34
CAMBRIDGE NE
69022-6616
US

IV. Provider business mailing address

PO BOX 488
CAMBRIDGE NE
69022
US

V. Phone/Fax

Practice location:
  • Phone: 308-697-1526
  • Fax: 308-697-3278
Mailing address:
  • Phone: 308-697-3329
  • Fax: 308-697-3278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number310001
License Number StateNE

VIII. Authorized Official

Name: DEBORAH HERZBERG
Title or Position: CEO
Credential:
Phone: 308-697-1124