Healthcare Provider Details

I. General information

NPI: 1700090115
Provider Name (Legal Business Name): THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 09/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 N SAINT JOSEPH AVE
HASTINGS NE
68901-4451
US

IV. Provider business mailing address

715 N KANSAS AVE
HASTINGS NE
68901-4453
US

V. Phone/Fax

Practice location:
  • Phone: 402-461-5382
  • Fax: 402-460-5829
Mailing address:
  • Phone: 402-461-5382
  • Fax: 402-460-5829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

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