ANTELOPE MEMORIAL HOSPITAL (NPI# 1033292594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033292594 |
| Entity Type | Organization |
| Organization Name | ANTELOPE MEMORIAL HOSPITAL |
| Other Organization Name | ANTELOPE MEMORIAL HOSPITAL HOME HEALTH CARE |
| Practice Address |
102 W 9th St Neligh NE 68756-1114 |
| Mailing Address |
Po Box 229 Neligh NE 68756-0229 |
| Practice Telephone | 4028874151 |
| Practice Fax Number | 4028874092 |
| Mailing Telephone | 4028874151 |
| Mailing Fax Number | 4028874092 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | DIANE M CARLIN (ADMINISTRATOR) |
| Authorized Official Telephone | 4028874151 |
| Is Organization Subpart | Y |
| Parent Organization Name | ANTELOPE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 021001 | NE | Agencies |
| Other Name | Type Code |
|---|---|
| Antelope Memorial Hospital Home Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710142195 | Antelope Memorial Hospital | General Acute Care Hospital | 102 West 9th St, Box 229, Neligh, NE 68756-0229 | 2008-07-24 |
| 1538242490 | Antelope Memorial Hospital | Family Medicine | 308 Nevada St, Clearwater, NE 68726-5349 | 2006-10-23 |
| 1184705477 | Antelope Memorial Hospital | Family Medicine | 101 West Cedar St, Elgin, NE 68636-4490 | 2006-10-17 |
| 1386732709 | Antelope Memorial Hospital | Family Medicine | 200 S Antelope St, Tilden, NE 68781-4809 | 2006-10-11 |
| 1760025191 | Antelope Memorial Hospital | Family Medicine | 109 W 11th St, Neligh, NE 68756-1065 | 2019-10-17 |
| 1568501302 | Antelope Memorial Hospital | Physician Assistant | 102 W 9th St, Neligh, NE 68756-1114 | 2007-02-06 |
| 1083790893 | Antelope Memorial Hospital | General Acute Care Hospital | 102 W 9th St, Neligh, NE 68756-1114 | 2006-10-27 |
| 1770669582 | Antelope Memorial Hospital | General Acute Care Hospital | 102 W 9th St, Neligh, NE 68756-1114 | 2006-10-27 |
| 1427146869 | Antelope Memorial Hospital | Family Medicine | 103 Washington St, Orchard, NE 68764-6330 | 2006-10-11 |
| 1669563987 | Antelope Memorial Hospital | Physician Assistant | 109 W 11th St, Neligh, NE 68756-1065 | 2006-09-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ANTELOPE MEMORIAL HOSPITAL | 102 West 9th St, Neligh, NE 68756-1114 |
| Street Address |
102 W 9TH ST |
| City | NELIGH |
| State | NE |
| Zip Code | 68756-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285273599 | Amanda J Wolff | Nurse Practitioner | 102 W 9th St, Neligh, NE 68756-1114 | 2020-01-03 |
| 1164982658 | Chelsey M Dierks | Physician Assistant | 102 W 9th St, Neligh, NE 68756-1114 | 2019-03-21 |
| 1588194468 | Timothy Allen Johnson | Nurse Anesthetist, Certified Registered | 102 W 9th St, Neligh, NE 68756-1114 | 2017-06-14 |
| 1588863773 | Matthew Kent Belitz | Physical Therapist | 102 W 9th St, Neligh, NE 68756-1114 | 2007-07-17 |
| 1568501302 | Antelope Memorial Hospital | Physician Assistant | 102 W 9th St, Neligh, NE 68756-1114 | 2007-02-06 |
| 1083790893 | Antelope Memorial Hospital | General Acute Care Hospital | 102 W 9th St, Neligh, NE 68756-1114 | 2006-10-27 |
| 1770669582 | Antelope Memorial Hospital | General Acute Care Hospital | 102 W 9th St, Neligh, NE 68756-1114 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376626879 | Brenda Sue Korth-wurdinger | Physician Assistant | 1108 R St, Neligh, NE 68756 | 2006-10-20 |
| 1902276694 | Lindsey Albrecht | Speech-Language Pathologist | 302 Main Street, Neligh, NE 68756 | 2015-10-07 |
| 1891720710 | Shirley Ann Claassen | General Practice | 411 N St, Neligh, NE 68756-0022 | 2006-07-11 |
| 1710142195 | Antelope Memorial Hospital | General Acute Care Hospital | 102 West 9th St, Box 229, Neligh, NE 68756-0229 | 2008-07-24 |
| 1790978583 | Neligh Clinic LLC | Clinic/Center | 1108 R St, Neligh, NE 68756-1022 | 2007-08-24 |
| 1851343263 | Ggnsc Neligh LLC | Skilled Nursing Facility | 1100 T St, Neligh, NE 68756-1027 | 2006-05-16 |
| 1336775592 | Jennifer Bernice Breuer | Physical Therapy Assistant | 1100 T St, Neligh, NE 68756-1027 | 2020-03-19 |
| 1861022485 | Morgan Pelster | Occupational Therapy Assistant | 1100 T St, Neligh, NE 68756-1027 | 2020-01-23 |
| 1235769076 | Natalie Dawn Mckillip | Physical Therapy Assistant | 1100 T St, Neligh, NE 68756-1027 | 2020-01-21 |
| 1356993265 | Arbor Care Centers - Neligh LLC | Skilled Nursing Facility | 1100 T St, Neligh, NE 68756-1027 | 2019-07-10 |
| Find all providers in zip 68756 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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| 1235770488 | Adorn Senior Home Care LLC | Home Health | 14916 Redman Ave, Omaha, NE 68116-1448 | 2019-09-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.