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1073577680 NPI number — MOUNT CARMEL HOME KEENS MEMORIAL

NPI Number: 1073577680
Health Care Provider/Practitioner: MOUNT CARMEL HOME KEENS MEMORIAL

Information about “1073577680” NPI (MOUNT CARMEL HOME KEENS MEMORIAL) exists in 1073577680 in HTML format HTML  |  1073577680 in plain Text format TXT  |  1073577680 in PDF (Portable Document Format) PDF  |  1073577680 in an XML format XML  formats.

NPI Number : 1073577680 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073577680",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MOUNT CARMEL HOME KEENS MEMORIAL",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "412 W 18TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KEARNEY",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68845-5948",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "412 W 18TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KEARNEY",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68845-5948",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "308-237-2287",
    "PracticeLocationAddressFaxNumber": "308-237-7264",
    "EnumerationDate": "04/12/2006",
    "LastUpdateDate": "06/24/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BANDA",
    "AuthorizedOfficialFirstName": "TRACY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR OF OPERATIONS",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "308-237-2287",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "314000000X",
        "TaxonomyName": "Skilled Nursing Facility",
        "LicenseNumber": "074003",
        "LicenseNumberStateCode": "NE",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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