GORDON MEMORIAL HOSPITAL (NPI# 1326182494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326182494 |
Entity Type | Organization |
Organization Name | GORDON MEMORIAL HOSPITAL |
Other Organization Name | GORDON CLINIC |
Practice Address |
807 N Ash St Gordon NE 69343-1132 |
Mailing Address |
300 E 8th St Gordon NE 69343-1123 |
Practice Telephone | 3082822200 |
Practice Fax Number | 3082821428 |
Mailing Telephone | 3082820401 |
Mailing Fax Number | 3082826191 |
Enumeration Date | 2007-02-20 |
Last Update Date | 2008-03-19 |
Authorized Official Name | MS. KAY W. GARCIA (CEO) |
Authorized Official Telephone | 3082820401 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 730001 | NE | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | MEDICARE PART B PROVIDER | 098738 | 01 |
Other Name | Type Code |
---|---|
Gordon Clinic | 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 |
1831262773 | Gordon Memorial Hospital | Home Health | 300 E 8th St, Gordon, NE 69343-1123 | 2006-11-16 |
1174504849 | Gordon Memorial Hospital | General Acute Care Hospital | 300 E 8th St, Gordon, NE 69343-1123 | 2005-11-09 |
Street Address |
807 N ASH ST |
City | GORDON |
State | NE |
Zip Code | 69343-1132 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1558921452 | Megan O'neil | Nurse Practitioner | 807 N Ash St, Gordon, NE 69343-1198 | 2019-06-13 |
1093807547 | Marjorie A Schmidt | Physician Assistant | 807 N Ash St, Gordon, NE 69343-1132 | 2006-09-29 |
1902998461 | Ronda L Larson | Physician Assistant | 807 N Ash St, Gordon, NE 69343-1132 | 2006-09-29 |
1518059005 | Joel F Hutchins | Family Medicine | 807 N Ash St, Gordon, NE 69343-1132 | 2006-09-29 |
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 | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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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.