BRODSTONE MEMORIAL HOSPITAL NPI 1699746248

NPI Information

BRODSTONE MEMORIAL HOSPITAL is a rural health clinic center in Edgar, NE. BRODSTONE MEMORIAL HOSPITAL NPI is 1699746248. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Edgar Medical Clinic.

The provider's business location address is:

315 N C ST
EDGAR, NE
ZIP 68935-194
Phone: (402) 224-3344
Fax: (402) 224-3346

The provider's authorized official is Sandra J Borden .
The authorized official title is Cfo and has the following contact phone number (402) 879-3281.

The CLIA number assigned to this NPI record is 28D0948021 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2006 and was last updated on 5/19/2017.

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:

Other Identifiers

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

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