SAUNDERS MEDICAL CENTER (NPI# 1417337635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417337635 |
| Entity Type | Organization |
| Organization Name | SAUNDERS MEDICAL CENTER |
| Practice Address |
1760 County Road J Wahoo NE 68066-4152 |
| Practice Telephone | 4024434191 |
| Practice Fax Number | 4024431433 |
| Mailing Telephone | 4024434191 |
| Mailing Fax Number | 4024431433 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2016-02-25 |
| Authorized Official Name | TYLER J. TOLINE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4024434191 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAUNDERS MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831188705 | Saunders Medical Center | General Acute Care Hospital | 1760 County Road J, Wahoo, NE 68066-4152 | 2005-10-13 |
| 1013364678 | Saunders Medical Center | Skilled Nursing Facility | 1760 County Road J, Wahoo, NE 68066-4152 | 2016-05-24 |
| 1326416850 | Saunders Medical Center | Pharmacy | 1760 County Road J, Wahoo, NE 68066-4152 | 2015-09-15 |
| 1780642660 | Saunders Medical Center | Medicare Defined Swing Bed Unit | 1760 County Road J, Wahoo, NE 68066-4152 | 2006-05-02 |
| 1467442244 | Saunders Medical Center | Clinic/Center | 1760 County Road J, Wahoo, NE 68066-4152 | 2005-10-24 |
| 1609866409 | Saunders Medical Center | Nursing Facility/Intermediate Care Facility | 1760 County Road J, Wahoo, NE 68066-4152 | 2005-10-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAUNDERS MEDICAL CENTER | 1760 County Road J, Wahoo, NE 68066-4152 |
| Street Address |
1760 COUNTY ROAD J |
| City | WAHOO |
| State | NE |
| Zip Code | 68066-4152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831188705 | Saunders Medical Center | General Acute Care Hospital | 1760 County Road J, Wahoo, NE 68066-4152 | 2005-10-13 |
| 1194292813 | Aaron Michael Bartek | Nurse Practitioner | 1760 County Road J, Wahoo, NE 68066-4152 | 2018-10-31 |
| 1639690894 | Jana L Lindstrom | Speech-Language Pathologist | 1760 County Road J, Wahoo, NE 68066-4152 | 2017-06-28 |
| 1831610179 | Alissa Claire Meyer | Physical Therapist | 1760 County Road J, Therapy Department, Wahoo, NE 68066-4152 | 2017-06-27 |
| 1215474879 | Abigail Kay Chase | Nurse Practitioner | 1760 County Road J, Wahoo, NE 68066-4152 | 2017-01-20 |
| 1013364678 | Saunders Medical Center | Skilled Nursing Facility | 1760 County Road J, Wahoo, NE 68066-4152 | 2016-05-24 |
| 1326416850 | Saunders Medical Center | Pharmacy | 1760 County Road J, Wahoo, NE 68066-4152 | 2015-09-15 |
| 1114305083 | Nicole Marie Akers | Family Medicine | 1760 County Road J, Wahoo, NE 68066 | 2015-05-12 |
| 1669899423 | Matthew Donald Dover | Physical Therapy Assistant | 1760 County Road J, Wahoo, NE 68066-4152 | 2014-03-18 |
| 1740607506 | Mary Rosemarie Stapert | Physical Therapy Assistant | 1760 County Road J, Wahoo, NE 68066-4152 | 2014-03-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336336650 | Assisted Living Concepts Inc | Assisted Living Facility | 1313 Hackberry Street, Wahoo, NE 68066 | 2007-10-01 |
| 1235205238 | Larry Dean Swanson | Dentist | 427 North Broadway Street, Wahoo, NE 68066 | 2006-11-28 |
| 1962616664 | Crmt Inc. | Durable Medical Equipment & Medical Supplies | 141 East 5th Street, Wahoo, NE 68066-0367 | 2007-05-10 |
| 1114303518 | Barbara Chall | Speech-Language Pathologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2015-08-07 |
| 1518586916 | Abigail Hiebner | Speech-Language Pathologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2020-04-15 |
| 1285271437 | Joshua Trutna | Registered Nurse | 2201 N Locust St, Wahoo, NE 68066-1093 | 2019-12-06 |
| 1649754193 | Jennifer Johnson | Psychologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2018-09-20 |
| 1174979322 | Kelsey Sestak | Speech-Language Pathologist | 2201 N Locust St, Wahoo, NE 68066-1093 | 2016-05-06 |
| 1730225343 | Daileys Clinic Phcy Inc | Pharmacy | 735 W 10th St, Wahoo, NE 68066-1100 | 2007-01-30 |
| 1578547816 | Linda Schulzkump | Emergency Medicine | 805 W 10th St, Wahoo, NE 68066-1102 | 2005-11-30 |
| Find all providers in zip 68066 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700115987 | Wahoo Medical P.C. | Clinic/Center | 567 W 15th St, Wahoo, NE 68066-1280 | 2009-12-16 |
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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.