BRODSTONE MEMORIAL HOSPITAL (NPI# 1114999547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114999547 |
| Entity Type | Organization |
| Organization Name | BRODSTONE MEMORIAL HOSPITAL |
| Other Organization Name | NELSON FAMILY MEDICAL CENTER |
| Practice Address |
76 W 8th St Nelson NE 68961-6130 |
| Mailing Address |
Po Box 407 Superior NE 68978-0407 |
| Practice Telephone | 4022252375 |
| Practice Fax Number | 4022252375 |
| Mailing Telephone | 4028794781 |
| Mailing Fax Number | 4028793365 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2018-01-11 |
| Authorized Official Name | SANDRA BORDEN (CFO) |
| Authorized Official Telephone | 4028793281 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRODSTONE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025288600 | 05 | |
| NE | 10025184500 | 05 |
| Other Name | Type Code |
|---|---|
| NELSON FAMILY MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477637619 | Brodstone Memorial Hospital | Home Health | 1050 Washington St, Superior, NE 68978-1149 | 2006-10-24 |
| 1699746248 | Brodstone Memorial Hospital | Family Medicine | 315 N C St, Edgar, NE 68935-3194 | 2006-01-31 |
| 1306842604 | Brodstone Memorial Hospital | General Acute Care Hospital | 520 E 10th St, Superior, NE 68978-1225 | 2005-06-22 |
| 1699855023 | Brodstone Memorial Hospital | Medicare Defined Swing Bed Unit | 520 E 10th St, Superior, NE 68978-1225 | 2006-10-17 |
| 1073590626 | Brodstone Memorial Hospital | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRODSTONE MEMORIAL HOSPITAL | 520 E 10th St, Superior, NE 68978-1225 |
| Street Address |
76 W 8TH ST |
| City | NELSON |
| State | NE |
| Zip Code | 68961-6130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912025032 | City of Nelson | Ambulance | 580 S Main St., Nelson, NE 68961 | 2007-03-27 |
| 1194706093 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 150 W 8th St, Nelson, NE 68961-6103 | 2005-11-08 |
| 1962686246 | Mallory Loretta Elting | Physical Therapy Assistant | 3735 Road V, Nelson, NE 68961-8727 | 2007-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853253 | Ivan Gerlitz | Student in an Organized Health Care Education/Training Program | 309 Beasley St, Nelson, BC V1L 5M5 | 2019-04-03 |
| 1760838254 | Nelson Volunteer Fire Company | Ambulance | 105 Village Dr, Nelson, PA 16940-0056 | 2016-05-13 |
| 1043682180 | Scheller Investments, LLC | Home Delivered Meals | 117 N Nelson St, Nelson, MN 56355-8219 | 2015-10-28 |
| 1750704714 | Judyann M Fridgen | Foster Care Agency | 6512 39th Ave Ne, Nelson, MN 56355-8175 | 2014-01-28 |
| 1720236714 | Cherilyn Rae Dahl | Occupational Therapist | E208 N Buffalo Ct, Nelson, WI 54756-8410 | 2008-09-03 |
| 1962686246 | Mallory Loretta Elting | Physical Therapy Assistant | 3735 Road V, Nelson, NE 68961-8727 | 2007-12-22 |
| 1407059694 | Nelson Public School | Local Education Agency (LEA) | 207 Pope St, Nelson, IL 61058-0053 | 2007-06-06 |
| 1912025032 | City of Nelson | Ambulance | 580 S Main St., Nelson, NE 68961 | 2007-03-27 |
| 1114052008 | John Harrison Martin | Family Medicine | 111 Holt Farm Rd, Nelson, NH 03457-5405 | 2007-02-22 |
| 1104929033 | Ronald Lee Meinstereifel | Psychologist | 57 Capitol Dr., Nelson, PA 16940-0242 | 2006-09-06 |
| Find all providers in NELSON | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366962706 | Ogallala Community Hospital | Clinic/Center | 2601 N Spruce St Ste A, Ogallala, NE 69153-2465 | 2017-06-27 |
| 1104228451 | Lexington Regional Health Center | Clinic/Center | 1105 N Erie St, Lexington, NE 68850-1504 | 2014-09-18 |
| 1255761631 | Kimball County Hospital | Clinic/Center | 922 1/2 Sherman Street, Potter, NE 69156-0163 | 2013-11-20 |
| 1629344692 | Avera St Anthonys Hospital | Clinic/Center | 103 S Thayer St, Spencer, NE 68777-9784 | 2012-03-23 |
| 1003182072 | Avera St Anthonys Hospital | Clinic/Center | 202 Nebraska St, Ewing, NE 68735-9513 | 2012-03-23 |
| 1477827244 | Cheyenne County Hospital Association Inc | Clinic/Center | 562 Vincent Ave, Chappell, NE 69129-9713 | 2012-02-27 |
| 1356676761 | Oakland Mercy Hospital | Clinic/Center | 600 E Fulton St, Hooper, NE 68031-3074 | 2009-10-03 |
| 1659528412 | Regional West Physicians Clinic | Clinic/Center | 302 Center Ave, Morrill, NE 69358-3017 | 2008-08-25 |
| 1073776886 | Minden Family Practice Clinic Inc | Clinic/Center | 345 N Minden Ave, Minden, NE 68959-1657 | 2008-07-02 |
| 1922269828 | Chadron Community Hospital Corp. | Clinic/Center | 11 Paddock St, Crawford, NE 69339-1143 | 2008-06-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRODSTONE MEMORIAL HOSPITAL.
| 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.