Healthcare Provider Details

I. General information

NPI: 1982987244
Provider Name (Legal Business Name): THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2011
Last Update Date: 01/10/2022
Certification Date: 01/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E 7TH ST
HARVARD NE
68944-2117
US

IV. Provider business mailing address

715 N SAINT JOSEPH AVE
HASTINGS NE
68901-4497
US

V. Phone/Fax

Practice location:
  • Phone: 402-772-7591
  • Fax:
Mailing address:
  • Phone: 402-463-4521
  • Fax: 402-461-5321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number11
License Number StateNE

VIII. Authorized Official

Name: ERIC A BARBER
Title or Position: CEO
Credential:
Phone: 402-461-5108