Healthcare Provider Details

I. General information

NPI: 1033203567
Provider Name (Legal Business Name): GORDON MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 E 2ND ST
RUSHVILLE NE
69360-4597
US

IV. Provider business mailing address

PO BOX 750 106 EAST SECOND STREET
RUSHVILLE NE
69360-0750
US

V. Phone/Fax

Practice location:
  • Phone: 308-327-2757
  • Fax:
Mailing address:
  • Phone: 308-327-2757
  • Fax: 308-327-2070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number730001
License Number StateNE

VIII. Authorized Official

Name: MEGAN M HEATH
Title or Position: CEO
Credential: RN
Phone: 308-282-0401