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PENDER COMMUNITY HOSPITAL DISTRICT NPI 1972931657


NPI Information

NPI: 1972931657
Provider Name: PENDER COMMUNITY HOSPITAL DISTRICT

Doing Business As: PENDER MEDICAL CLINIC

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

Specialization: Rural Health

CLIA Number: 28D0453581

Address:
958 WELLNESS WAY STE 1
PENDER, NE
ZIP 68047
Phone: (402) 385-3033
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PENDER COMMUNITY HOSPITAL DISTRICT is a rural health clinic center in Pender, NE. PENDER COMMUNITY HOSPITAL DISTRICT NPI is 1972931657. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pender Medical Clinic.

The provider's business location address is:

958 WELLNESS WAY STE 1
PENDER, NE
ZIP 68047-518
Phone: (402) 385-3033

The provider's authorized official is Laura J Gamble .
The authorized official title is Ceo and has the following contact phone number (402) 385-3083.

The CLIA number assigned to this NPI record is 28D0453581 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/16/2013 and was last updated on 1/11/2024.


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
3261QR1300XClinic/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

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.