ANTELOPE MEMORIAL HOSPITAL


Address: 308 Nevada St, Clearwater, NE 68726-5349
Phone: 4024852277

ANTELOPE MEMORIAL HOSPITAL (NPI# 1538242490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538242490
Entity Type Organization
Organization Name ANTELOPE MEMORIAL HOSPITAL
Other Organization Name AMH CLEARWATER CLINIC
Practice Address 308 Nevada St
Clearwater
NE 68726-5349
Mailing Address Po Box 109
Neligh
NE 68756-0109
Practice Telephone 4024852277
Mailing Telephone 4028875440
Mailing Fax Number 4028874151
Enumeration Date 2006-10-23
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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NE 10025168900 05

Other Provider/Organization Names

Other Name Type Code
AMH Clearwater Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1386732709 Antelope Memorial Hospital Family Medicine 200 S Antelope St, Tilden, NE 68781-4809 2006-10-11
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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ANTELOPE MEMORIAL HOSPITAL 102 West 9th St, Neligh, NE 68756-1114

Office Location

Street Address 308 NEVADA ST
City CLEARWATER
State NE
Zip Code 68726-5349

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609159961 Village of Clearwater Ambulance 628 Main St, Clearwater, NE 68726 2011-09-23
1285260521 Mirissa Hurtig Physical Therapy Assistant 85610 521st Ave, Clearwater, NE 68726-5230 2020-03-18
1114124559 Dorian Elise Morrison Occupational Therapist 85824 519th Ave, Clearwater, NE 68726-5239 2007-06-29
1104253764 Kayla Uthe Occupational Therapy Assistant 85824 519th Ave, Clearwater, NE 68726-5239 2013-09-27

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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

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1629344692 Avera St Anthonys Hospital Clinic/Center 103 S Thayer St, Spencer, NE 68777-9784 2012-03-23
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1477827244 Cheyenne County Hospital Association Inc Clinic/Center 562 Vincent Ave, Chappell, NE 69129-9713 2012-02-27
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
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Competitor

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City CLEARWATER
Zip Code 68726

Improve Information

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Dataset Information

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.

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