Healthcare Provider Details
I. General information
NPI: 1326104332
Provider Name (Legal Business Name): OAKLAND MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
211 N ENGDAHL AVE
OAKLAND NE
68045-1431
US
IV. Provider business mailing address
601 E 2ND ST
OAKLAND NE
68045-1400
US
V. Phone/Fax
- Phone: 402-685-5116
- Fax: 402-685-5817
- Phone: 402-685-5601
- Fax: 402-685-6223
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural 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