BRODSTONE MEMORIAL HOSPITAL (NPI# 1306842604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306842604 |
| Entity Type | Organization |
| Organization Name | BRODSTONE MEMORIAL HOSPITAL |
| Practice Address |
520 E 10th St Superior NE 68978-1225 |
| Mailing Address |
Po Box 187 Superior NE 68978-0187 |
| Practice Telephone | 4028793281 |
| Practice Fax Number | 4028793401 |
| Mailing Telephone | 4028793281 |
| Mailing Fax Number | 4028793401 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2012-03-05 |
| Authorized Official Name | SANDRA J BORDEN (CFO) |
| Authorized Official Telephone | 4028793281 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
570001 | NE | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477637619 | Brodstone Memorial Hospital | Home Health | 1050 Washington St, Superior, NE 68978-1149 | 2006-10-24 |
| 1114999547 | Brodstone Memorial Hospital | Family Medicine | 76 W 8th St, Nelson, NE 68961-6130 | 2006-02-01 |
| 1699746248 | Brodstone Memorial Hospital | Family Medicine | 315 N C St, Edgar, NE 68935-3194 | 2006-01-31 |
| 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 |
520 E 10TH ST |
| City | SUPERIOR |
| State | NE |
| Zip Code | 68978-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326490 | Douglas Wehrman | Physical Therapist | 520 E 10th St, Superior, NE 68978-1225 | 2020-05-06 |
| 1437770237 | Spencer Trapp | Physical Therapist | 520 E 10th St, Superior, NE 68978-1225 | 2020-05-03 |
| 1780038810 | Shannon Short | Pharmacist | 520 E 10th St, Superior, NE 68978-1225 | 2016-04-14 |
| 1932473030 | Angela Hanson-garver | Registered Nurse | 520 E 10th St, Superior, NE 68978-1225 | 2012-03-07 |
| 1699049791 | Nicole Marie Ordich | Registered Nurse | 520 E 10th St, Superior, NE 68978-1225 | 2012-03-07 |
| 1740554807 | Verlene Jeanette Watson | Registered Nurse | 520 E 10th St, Superior, NE 68978-1225 | 2012-03-06 |
| 1326361965 | David Lee Wroughton | Occupational Therapist | 520 E 10th St, Superior, NE 68978-1225 | 2010-03-10 |
| 1689905754 | Janis M Lindberg | Nutritionist | 520 E 10th St, Superior, NE 68978-1225 | 2010-01-28 |
| 1407186281 | Marie A Parvi | Nurse Anesthetist, Certified Registered | 520 E 10th St, Superior, NE 68978-1225 | 2009-12-30 |
| 1629224977 | June L Pumphrey | Physical Therapy Assistant | 520 E 10th St, Superior, NE 68978-1225 | 2008-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144475740 | Superior Vision PC | Eyewear Supplier (Equipment, not the service) | 358 Central Ave, Superior, NE 68978 | 2008-11-24 |
| 1427234160 | Elinor Lynn Wilton | Speech-Language Pathologist | 4034 Road C, Superior, NE 68978 | 2008-01-11 |
| 1780720904 | Sharon Greenwood | Counselor | 344 North Dakota, Superior, NE 68978 | 2007-01-29 |
| 1780776583 | South Central Behavioral Services | Clinic/Center | 520 East 10th Street, Broadstone Memorial Hospital, Superior, NE 68978 | 2006-09-29 |
| 1780804112 | Terry Dale Kermoade | Pharmacist | 520 East 10th Street, Superior, NE 68978 | 2007-04-26 |
| 1013024215 | Steve Abe Fox | Nurse Anesthetist, Certified Registered | 1324 Montana St, Superior, NE 68978-1038 | 2006-08-24 |
| 1790777936 | Timothy Blecha | Specialist | 525 E 11th St, Superior, NE 68978-1101 | 2005-08-15 |
| 1568756609 | Alisha Fangmeyer | Nurse Practitioner | 525 E 11th St, Superior, NE 68978-1101 | 2011-06-07 |
| 1245552140 | Matthew Gatlin | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2010-02-18 |
| 1073590626 | Brodstone Memorial Hospital | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| Find all providers in zip 68978 | ||||
| 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 |
| 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.