ANTELOPE MEMORIAL HOSPITAL NPI 1386732709

NPI Information

NPI: 1386732709
Provider Name: ANTELOPE MEMORIAL HOSPITAL

Doing Business As: AMH TILDEN CLINIC

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

Specialization: Rural Health

Address:
200 S ANTELOPE ST
TILDEN, NE
ZIP 68781
Phone: (402) 368-5520
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ANTELOPE MEMORIAL HOSPITAL is a rural health clinic center in Tilden, NE. ANTELOPE MEMORIAL HOSPITAL NPI is 1386732709. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Amh Tilden Clinic.

The provider's business location address is:

200 S ANTELOPE ST
TILDEN, NE
ZIP 68781-809
Phone: (402) 368-5520

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 28D0976261 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				No
2	261QR1300X	Clinic/Center	Rural Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10025168600	MEDICAID	NEBRASKA

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: 5/5/2024

NPI Synchronization or Removal

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