Healthcare Provider Details

I. General information

NPI: 1205442258
Provider Name (Legal Business Name): THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2020
Last Update Date: 09/16/2020
Certification Date: 09/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 N SAINT JOSEPH AVE
HASTINGS NE
68901-4479
US

IV. Provider business mailing address

715 N SAINT JOSEPH AVE
HASTINGS NE
68901-4479
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: ERIC A BARBER
Title or Position: PRESIDENT & CEO
Credential:
Phone: 402-463-4521