ANTELOPE MEMORIAL HOSPITAL (NPI# 1386732709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386732709 |
Entity Type | Organization |
Organization Name | ANTELOPE MEMORIAL HOSPITAL |
Other Organization Name | AMH TILDEN CLINIC |
Practice Address |
200 S Antelope St Tilden NE 68781-4809 |
Mailing Address |
Po Box 109 Neligh NE 68756-0109 |
Practice Telephone | 4023685520 |
Mailing Telephone | 4028875440 |
Mailing Fax Number | 4028874564 |
Enumeration Date | 2006-10-11 |
Last Update Date | 2020-02-10 |
Authorized Official Name | DIANE M CARLIN (ADMINISTRATOR) |
Authorized Official Telephone | 4028874151 |
Is Organization Subpart | Y |
Parent Organization Name | ANTELOPE MEMORIAL HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 10025168600 | 05 |
Other Name | Type Code |
---|---|
AMH Tilden Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710142195 | Antelope Memorial Hospital | General Acute Care Hospital | 102 West 9th St, Box 229, Neligh, NE 68756-0229 | 2008-07-24 |
1538242490 | Antelope Memorial Hospital | Family Medicine | 308 Nevada St, Clearwater, NE 68726-5349 | 2006-10-23 |
1033292594 | Antelope Memorial Hospital | Home Health | 102 W 9th St, Neligh, NE 68756-1114 | 2006-10-20 |
1184705477 | Antelope Memorial Hospital | Family Medicine | 101 West Cedar St, Elgin, NE 68636-4490 | 2006-10-17 |
1760025191 | Antelope Memorial Hospital | Family Medicine | 109 W 11th St, Neligh, NE 68756-1065 | 2019-10-17 |
1568501302 | Antelope Memorial Hospital | Physician Assistant | 102 W 9th St, Neligh, NE 68756-1114 | 2007-02-06 |
1083790893 | Antelope Memorial Hospital | General Acute Care Hospital | 102 W 9th St, Neligh, NE 68756-1114 | 2006-10-27 |
1770669582 | Antelope Memorial Hospital | General Acute Care Hospital | 102 W 9th St, Neligh, NE 68756-1114 | 2006-10-27 |
1427146869 | Antelope Memorial Hospital | Family Medicine | 103 Washington St, Orchard, NE 68764-6330 | 2006-10-11 |
1669563987 | Antelope Memorial Hospital | Physician Assistant | 109 W 11th St, Neligh, NE 68756-1065 | 2006-09-28 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ANTELOPE MEMORIAL HOSPITAL | 102 West 9th St, Neligh, NE 68756-1114 |
Street Address |
200 S ANTELOPE ST |
City | TILDEN |
State | NE |
Zip Code | 68781-4809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699814541 | City of Tilden | Ambulance | 101 So. Center St., Tilden, NE 68781 | 2007-02-06 |
1356357149 | Thomas N Fennessy | General Practice | 306 West 2 Street, Tilden, NE 68781 | 2006-07-31 |
1457396319 | Nagangast Pharmacies Inc | Pharmacy | 103 East 2nd St, Tilden, NE 68781 | 2006-06-17 |
1063790558 | Tilden Physical Therapy | Physical Therapist | 109 East 2nd St, Tilden, NE 68781-0000 | 2011-08-01 |
1982952685 | Sarah Ann Anderson | Nurse Practitioner | 306 W 2nd St, Tilden, NE 68781-0220 | 2012-08-28 |
1558384842 | Tilden Community Hospital & Rural Health Clinic | Clinic/Center | 306 W 2nd St, Tilden, NE 68781-4760 | 2006-07-26 |
1952355307 | Tilden Community Hospital & Rural Health Clinic | General Acute Care Hospital | 308 W 2nd St, Tilden, NE 68781-4760 | 2006-05-20 |
1649501404 | Anita R Murphy | Physician Assistant | 306 W 2nd St, Tilden, NE 68781-4760 | 2010-01-19 |
1609946417 | Tilden Community Hospital & Rural Health Clinic | General Acute Care Hospital | 308 W 2nd St, Tilden, NE 68781-4760 | 2006-11-09 |
1700965985 | James Robert Crabb | Dentist | 106 East 2nd St, Tilden, NE 68781-4793 | 2006-11-06 |
Find all providers in zip 68781 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558384842 | Tilden Community Hospital & Rural Health Clinic | Clinic/Center | 306 W 2nd St, Tilden, NE 68781-4760 | 2006-07-26 |
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1255761631 | Kimball County Hospital | Clinic/Center | 922 1/2 Sherman Street, Potter, NE 69156-0163 | 2013-11-20 |
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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 |
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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.