GORDON MEMORIAL HEALTH SERVICES (NPI# 1083602692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083602692 |
| Entity Type | Organization |
| Organization Name | GORDON MEMORIAL HEALTH SERVICES |
| Other Organization Name | GORDON COUNTRYSIDE CARE |
| Practice Address |
500 E 10th St Gordon NE 69343-1157 |
| Practice Telephone | 3082820806 |
| Practice Fax Number | 3082820251 |
| Mailing Telephone | 3082820806 |
| Mailing Fax Number | 3082820251 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KRISSA L RUCKER (ADMINISTRATOR) |
| Authorized Official Telephone | 3082820806 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 313M00000X | Nursing Facility/Intermediate Care Facility | 734001 | NE | Nursing & Custodial Care Facilities |
| X | 310400000X | Assisted Living Facility | ALF070 | NE | Nursing & Custodial Care Facilities |
| X | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
14 | NE | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Gordon Countryside Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710102645 | Gordon Memorial Health Services | Nursing Facility/Intermediate Care Facility | 500 E 10th St, Gordon, NE 69343-1157 | 2007-04-16 |
| Street Address |
500 E 10TH ST |
| City | GORDON |
| State | NE |
| Zip Code | 69343-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710102645 | Gordon Memorial Health Services | Nursing Facility/Intermediate Care Facility | 500 E 10th St, Gordon, NE 69343-1157 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558627729 | Ronald Charles Felton | Counselor | 305 Foch Street, Gordon, NE 69343 | 2012-04-02 |
| 1306855127 | City of Gordon Office of Comptroller | Ambulance | 208 North Elm St., Gordon, NE 69343 | 2006-08-08 |
| 1922252295 | Anpo Wicahpi Charging Thunder | Family Medicine | 807 N. Ash St, Gordon, NE 69343-0000 | 2008-11-12 |
| 1285647214 | Paul C Hessler IIi | Radiology | 309 Maple Ave, Gordon, NE 69343-0174 | 2006-08-14 |
| 1982779039 | Gordon Memorial Hospital | Medicare Defined Swing Bed Unit | 300 East 8th, Gordon, NE 69343-1123 | 2006-11-22 |
| 1952885964 | Erin Sandoz | Occupational Therapist | 300 E 8th St, Gordon, NE 69343-1123 | 2018-09-17 |
| 1245684455 | Bryan Felker | Physical Therapist | 300 E 8th St, Gordon, NE 69343-1123 | 2016-04-14 |
| 1154581429 | Cassie Marie Banks | Nurse Practitioner | 300 E 8th St, Gordon, NE 69343-1123 | 2008-06-11 |
| 1720276702 | Suzanne Beth Sachs | Physician Assistant | 300 E 8th St, Gordon, NE 69343-1123 | 2007-10-04 |
| 1376740761 | Martin Emerson Lambert | Nurse Anesthetist, Certified Registered | 300 E 8th St, Gordon, NE 69343-1123 | 2007-06-28 |
| Find all providers in zip 69343 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710102645 | Gordon Memorial Health Services | Nursing Facility/Intermediate Care Facility | 500 E 10th St, Gordon, NE 69343-1157 | 2007-04-16 |
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|---|---|---|---|---|
| 1821446253 | Oglala Sioux Lakota Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 7835 State Highway 87, Rushville, NE 69360-0001 | 2016-05-26 |
| 1750763751 | Valley View Senior Village, LLC | Nursing Facility/Intermediate Care Facility | 220 S 26th St, Ord, NE 68862-1628 | 2015-06-25 |
| 1710275060 | City of Genoa | Nursing Facility/Intermediate Care Facility | 706 Ewing Avenue, Genoa, NE 68640-3035 | 2011-07-20 |
| 1346468782 | Cheyenne County Hospital Association Inc | Nursing Facility/Intermediate Care Facility | 549 Keller Dr, Sidney, NE 69162-1775 | 2007-04-23 |
| 1336265701 | Midwest Homestead of Kearney Operations LLC | Nursing Facility/Intermediate Care Facility | 4205 6th Ave, Kearney, NE 68845-3470 | 2007-03-21 |
| 1083730469 | Midwest Homestead of Hastings Operations LLC | Nursing Facility/Intermediate Care Facility | 1116 Sycamore Ave, Hastings, NE 68901-3380 | 2007-03-21 |
| 1073639365 | Midwest Homestead of Norfolk Operations LLC | Nursing Facility/Intermediate Care Facility | 3614 Koenigstein Ave, Norfolk, NE 68701-8010 | 2007-03-21 |
| 1912034620 | Sutton Community Home, Inc | Nursing Facility/Intermediate Care Facility | 1106 North Saunders Ave, Sutton, NE 68979-2406 | 2007-02-28 |
| 1063553527 | Pioneer Memorial Community Hospital | Nursing Facility/Intermediate Care Facility | 206 Nw 4th, Mullen, NE 69152-0578 | 2007-02-09 |
| 1679630792 | Tabitha, Inc. | Nursing Facility/Intermediate Care Facility | 1540 Grove Avenue, Crete, NE 68333-1749 | 2007-01-02 |
| 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.