Healthcare Provider Details

I. General information

NPI: 1881759934
Provider Name (Legal Business Name): OAKLAND MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 MAIN ST
LYONS NE
68038-2676
US

IV. Provider business mailing address

601 E 2ND ST
OAKLAND NE
68045-1400
US

V. Phone/Fax

Practice location:
  • Phone: 402-687-2171
  • Fax: 402-687-2272
Mailing address:
  • Phone: 402-685-5601
  • Fax: 402-685-6223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. TIMOTHY J. FISCHER
Title or Position: CEO AND ADMINISTRATOR
Credential:
Phone: 402-685-5601