GORDON MEMORIAL HOSPITAL (NPI# 1174504849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174504849 |
Entity Type | Organization |
Organization Name | GORDON MEMORIAL HOSPITAL |
Other Organization Name | GORDON MEMORIAL HOSPITAL PHYSICAL THERAPY |
Practice Address |
300 E 8th St Gordon NE 69343-1123 |
Practice Telephone | 3082820401 |
Practice Fax Number | 3082826109 |
Mailing Telephone | 3082820401 |
Mailing Fax Number | 3088280431 |
Enumeration Date | 2005-11-09 |
Last Update Date | 2020-01-02 |
Authorized Official Name | DORIS BROWN (CEO) |
Authorized Official Telephone | 3082820401 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
NE | Hospitals | |
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
730001 | NE | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 098738 | 05 | |
SD | 0120100 | 05 | |
SD | 5520100 | 05 |
Other Name | Type Code |
---|---|
Gordon Memorial Hospital Physical Therapy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982779039 | Gordon Memorial Hospital | Medicare Defined Swing Bed Unit | 300 East 8th, Gordon, NE 69343-1123 | 2006-11-22 |
1295828713 | Gordon Memorial Hospital | Clinic/Center | 807 N Ash, Gordon, NE 69343-1132 | 2006-10-02 |
1033203567 | Gordon Memorial Hospital | Clinic/Center | 307 Conrad St, Rushville, NE 69360-0750 | 2006-10-02 |
1326182494 | Gordon Memorial Hospital | General Practice | 807 N Ash St, Gordon, NE 69343-1132 | 2007-02-20 |
1831262773 | Gordon Memorial Hospital | Home Health | 300 E 8th St, Gordon, NE 69343-1123 | 2006-11-16 |
Street Address |
300 E 8TH ST |
City | GORDON |
State | NE |
Zip Code | 69343-1123 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1831262773 | Gordon Memorial Hospital | Home Health | 300 E 8th St, Gordon, NE 69343-1123 | 2006-11-16 |
1679517346 | Fort Meade Vamc | Clinic/Center | 300 E 8th St, Gordon, NE 69343-1123 | 2006-06-15 |
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 |
1295828713 | Gordon Memorial Hospital | Clinic/Center | 807 N Ash, Gordon, NE 69343-1132 | 2006-10-02 |
1013987064 | Doak Peter Doolittle | Surgery | 807 N Ash St, Gordon, NE 69343-1132 | 2006-01-24 |
1104478627 | Kaleigh Marie Krebs | Nurse Practitioner | 807 N Ash St, Gordon, NE 69343-1132 | 2019-07-15 |
1326182494 | Gordon Memorial Hospital | General Practice | 807 N Ash St, Gordon, NE 69343-1132 | 2007-02-20 |
1093807547 | Marjorie A Schmidt | Physician Assistant | 807 N Ash St, Gordon, NE 69343-1132 | 2006-09-29 |
Find all providers in zip 69343 |
Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144633223 | Regional West Garden County | General Acute Care Hospital | 1100 West 2nd, Oshkosh, NE 69154-6117 | 2014-06-06 |
1184837262 | Alegent Health | General Acute Care Hospital | Midlands Hospital, 11111 South 84th Street, Papillion, NE 68046 | 2007-05-07 |
1467675629 | Chadron Community Hospital Corp. | General Acute Care Hospital | 825 Centennial Dr., Chadron, NE 69337-9400 | 2007-04-10 |
1982725644 | University of Nebraska Medical Center | General Acute Care Hospital | 985000 Nebraska Medical Center, Omaha, NE 68198-1150 | 2007-04-02 |
1609965805 | Osmond General Hospital Inc | General Acute Care Hospital | 402 N Maple St, Osmond, NE 68765-5726 | 2006-10-12 |
1093802688 | Dundy County Hospital | General Acute Care Hospital | 1313 North Cheyenne Street, Benkelman, NE 69021-3074 | 2006-10-06 |
1689769382 | Fillmore County Hospital | General Acute Care Hospital | 1900 F St, Geneva, NE 68361-2229 | 2006-10-04 |
1922106152 | Howard County Medical Center | General Acute Care Hospital | 1113 Sherman St, Saint Paul, NE 68873 | 2006-09-20 |
1063429694 | Memorial Community Health, Inc | General Acute Care Hospital | 1423 7th St, Aurora, NE 68818-1141 | 2006-08-03 |
1124035225 | Harlan County Health System | General Acute Care Hospital | 717 Brown St, Alma, NE 68920-2132 | 2006-08-02 |
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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.