Healthcare Provider Details

I. General information

NPI: 1487668471
Provider Name (Legal Business Name): THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 S BURLINGTON AVE SUITE 108
HASTINGS NE
68901-6912
US

IV. Provider business mailing address

835 S BURLINGTON AVE SUITE 108
HASTINGS NE
68901-6912
US

V. Phone/Fax

Practice location:
  • Phone: 402-463-7711
  • Fax:
Mailing address:
  • Phone: 402-463-7711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: SHANNA K STOFER
Title or Position: PRESIDENT/CEO
Credential:
Phone: 402-463-4521