Provider Type Icon

ANTELOPE MEMORIAL HOSPITAL NPI 1184705477


NPI Information

NPI: 1184705477
Provider Name: ANTELOPE MEMORIAL HOSPITAL

Doing Business As: AMH ELGIN CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 28D0935049

Address:
101 WEST CEDAR ST
ELGIN, NE
ZIP 68636
Phone: (402) 843-5444
Get Directions

ANTELOPE MEMORIAL HOSPITAL is a rural health clinic center in Elgin, NE. ANTELOPE MEMORIAL HOSPITAL NPI is 1184705477. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Amh Elgin Clinic.

The provider's business location address is:

101 WEST CEDAR ST
ELGIN, NE
ZIP 68636-490
Phone: (402) 843-5444

The provider's authorized official is Diane M Brugger .
The authorized official title is Administrator and has the following contact phone number (402) 887-4151.

The CLIA number assigned to this NPI record is 28D0935049 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 11/18/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110025168800MEDICAIDNEBRASKA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.