BRODSTONE MEMORIAL HOSPITAL (NPI# 1477637619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477637619 |
| Entity Type | Organization |
| Organization Name | BRODSTONE MEMORIAL HOSPITAL |
| Other Organization Name | BRODSTONE MEMORIAL HOME HEALTH CARE |
| Practice Address |
1050 Washington St Superior NE 68978-1149 |
| 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 | 2006-10-24 |
| 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 | 251E00000X | Home Health | 570001 | NE | Agencies |
| Other Name | Type Code |
|---|---|
| BRODSTONE MEMORIAL HOME HEALTH CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1306842604 | Brodstone Memorial Hospital | General Acute Care Hospital | 520 E 10th St, Superior, NE 68978-1225 | 2005-06-22 |
| 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 |
1050 WASHINGTON ST |
| City | SUPERIOR |
| State | NE |
| Zip Code | 68978-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144496589 | Positive Solutions, Inc | Social Worker | 1050 Washington St, Superior, NE 68978-1149 | 2008-05-06 |
| 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 |
| 1033288097 | Peggy Ann Meyer | Counselor | 520 E 10th St, Superior, NE 68978 | 2006-11-06 |
| 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 |
| Find all providers in zip 68978 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790788099 | Dove Inc | Home Health | 1416 Cumming Ave, Ste 2b, Superior, WI 54880-3757 | 2005-05-31 |
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| 1598393449 | Neighborhood Health PC | Home Health | 17512 Patrick Ave, Omaha, NE 68116-2350 | 2020-03-27 |
| 1396377271 | Nab Mobility Solutions LLC | Home Health | 10717 Mockingbird Dr, Omaha, NE 68127-1941 | 2020-02-07 |
| 1255962536 | Above and Beyond Home Health | Home Health | 1181 Idylwild Dr, Lincoln, NE 68503-2037 | 2020-01-27 |
| 1235770488 | Adorn Senior Home Care LLC | Home Health | 14916 Redman Ave, Omaha, NE 68116-1448 | 2019-09-30 |
| 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.