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ANTELOPE MEMORIAL HOSPITAL NPI 1760025191


NPI Information

NPI: 1760025191
Provider Name: ANTELOPE MEMORIAL HOSPITAL

Doing Business As: AMH FAMILY PRACTICE BCBS PCMH

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

Specialization: Rural Health

CLIA Number: 28D0455615

Address:
109 W 11TH ST
NELIGH, NE
ZIP 68756
Phone: (402) 887-5440
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ANTELOPE MEMORIAL HOSPITAL is a rural health clinic center in Neligh, NE. ANTELOPE MEMORIAL HOSPITAL NPI is 1760025191. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Amh Family Practice Bcbs Pcmh.

The provider's business location address is:

109 W 11TH ST
NELIGH, NE
ZIP 68756-065
Phone: (402) 887-5440
Fax: (402) 887-4564

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 28D0455615 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/17/2019 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
1207Q00000XFamily MedicineNo
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo
4261QR1300XClinic/CenterRural HealthYes

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

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