JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC (NPI# 1538232244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538232244 |
| Entity Type | Organization |
| Organization Name | JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC |
| Practice Address |
145 Memorial Dr Broken Bow NE 68822-1378 |
| Mailing Address |
Po Box 250 Broken Bow NE 68822-0250 |
| Practice Telephone | 3088724100 |
| Practice Fax Number | 3088724175 |
| Mailing Telephone | 3088724100 |
| Mailing Fax Number | 3088724175 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | MS. VERONICA L SCHMIDT (PRESIDENT/CEO) |
| Authorized Official Telephone | 3088724100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
100004 | NE | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS PROVIDER NUMBE | 0019 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366659773 | Jennie M Melham Memorial Medical Center Inc | Nurse Anesthetist, Certified Registered | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2007-05-16 |
| 1982779641 | Jennie M Melham Memorial Medical Center Inc | Medicare Defined Swing Bed Unit | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2006-11-21 |
| Street Address |
145 MEMORIAL DR |
| City | BROKEN BOW |
| State | NE |
| Zip Code | 68822-1378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528098407 | Julie A Lindstrom | Family Medicine | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2006-07-04 |
| 1386271419 | Valerie Harris | Counselor | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2020-03-26 |
| 1861959017 | Justin Boutwell | Physician Assistant | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2019-02-25 |
| 1982143764 | Jason S Brooks | Physician Assistant | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2017-02-14 |
| 1033657820 | Laci Kai Scott | Nurse Practitioner | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2017-02-01 |
| 1295199792 | Katie Thompson | Family Medicine | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2016-04-11 |
| 1811311921 | Jacob D Karmazin | Physician Assistant | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2014-02-10 |
| 1942400585 | Melissa Ann Kulhanek | Pharmacist | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2007-07-23 |
| 1366659773 | Jennie M Melham Memorial Medical Center Inc | Nurse Anesthetist, Certified Registered | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2007-05-16 |
| 1609937598 | Loren Henning Jacobsen | Family Medicine | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659898229 | Lauren Eliz Zimbelman | Occupational Therapy Assistant | Brookestone View, 850 Laurel Parkway Drive, Broken Bow, NE 68822 | 2017-08-24 |
| 1063868032 | Tanner Johnson | Specialist/Technologist | 79568 Sumner Rd., Broken Bow, NE 68822 | 2016-05-10 |
| 1730571837 | Quality Senior Villages | Clinic/Center | 715 Arapahoe Lane, Broken Bow, NE 68822 | 2015-02-26 |
| 1346660743 | Sheila Erickson | Case Manager/Care Coordinator | 323 S 7th Street, Broken Bow, NE 68822 | 2014-04-24 |
| 1497926570 | Sarah Tove Hansen | Community Health Worker | 850 Laurel Parkway Dr, Broken Bow, NE 68822 | 2008-03-18 |
| 1144320144 | John C Evans | Nurse Anesthetist, Certified Registered | 145 Memorial Dr., Broken Bow, NE 68822 | 2006-09-22 |
| 1588764583 | Timothy Bart Johnson | Nurse Anesthetist, Certified Registered | 79568 Sumner Road, Broken Bow, NE 68822 | 2006-09-22 |
| 1578668232 | Central Nebraska Medical Clinic PC | Family Medicine | 145 Memorial Drive, Broken Bow, NE 68822 | 2006-09-14 |
| 1265668172 | Errin M. Nelson | Physical Therapist | 325 South 1st Ave, Errin Nelson, Broken Bow, NE 68822-0435 | 2009-06-05 |
| 1083025571 | Deniece P Petersen | Physical Therapist | 325 S 1st Ave, Broken Bow, NE 68822-0435 | 2014-05-19 |
| Find all providers in zip 68822 | ||||
| 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 | ||||
| City | BROKEN BOW |
| Zip Code | 68822 |
Please comment or provide details below to improve the information on JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC.
| 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.