Healthcare Provider Details

I. General information

NPI: 1265885479
Provider Name (Legal Business Name): HOWARD COUNTY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2016
Last Update Date: 09/01/2020
Certification Date: 09/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 N 6TH ST
LOUP CITY NE
68853-8005
US

IV. Provider business mailing address

1113 SHERMAN ST PO BOX 406
SAINT PAUL NE
68873-1546
US

V. Phone/Fax

Practice location:
  • Phone: 308-754-4421
  • Fax: 308-754-2303
Mailing address:
  • Phone: 308-754-4421
  • Fax: 308-754-2303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MORGAN L MEYER
Title or Position: CFO
Credential:
Phone: 308-754-4421