GORDON MEMORIAL HEALTH SERVICES NPI 1083602692

NPI Information

  • NPI: 1083602692
  • Provider Name: GORDON MEMORIAL HEALTH SERVICES
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Organization
  • :
  • CLIA Number: 28D0652699
  • Address: 500 E 10TH ST
    GORDON, NE
    ZIP 69343
  • Phone: (308) 282-0806

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NPI Details

GORDON MEMORIAL HEALTH SERVICES is an adult day care clinic center in Gordon, NE. GORDON MEMORIAL HEALTH SERVICES NPI is 1083602692. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

500 E 10TH ST
GORDON, NE
ZIP 69343-157
Phone: (308) 282-0806
Fax: (308) 282-0251

The provider's authorized official is Krissa L Rucker .
The authorized official title is Administrator and has the following contact phone number (308) 282-0806.

The CLIA number assigned to this NPI record is 28D0652699 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2005 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1313M00000XNursing Facility/Intermediate Care Facility734001NEBRASKANo
2310400000XAssisted Living FacilityALF070NEBRASKANo
3261QA0600XClinic/CenterAdult Day Care14NEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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