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).
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 |
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 | 10025168900 | 05 |
Other Name | Type Code |
---|---|
AMH Clearwater 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 |
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 |
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 |
308 NEVADA ST |
City | CLEARWATER |
State | NE |
Zip Code | 68726-5349 |
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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---|---|---|---|---|
1881295798 | Palumbo Wellness LLC | Family Medicine | 26236 Us Highway 19 N, Clearwater, FL 33761-3580 | 2020-11-06 |
1437750403 | Phong Hai Huynh | Behavior Technician | 4173 105th Ave N, Clearwater, FL 33762-5461 | 2020-11-05 |
1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
1730780255 | Marisol Knapp | Community Health Worker | 14354 Franklin Ave Nw, Clearwater, MN 55320-2163 | 2020-11-02 |
1144829086 | Samir Osmancevic | Day Training/Habilitation Specialist | 5251 110th Ave N Ste 114, Clearwater, FL 33760-4837 | 2020-10-21 |
1851999544 | Js Home & Companion Care Inc | In Home Supportive Care | 1361 Terrace Rd, Clearwater, FL 33755-2059 | 2020-10-14 |
1245847797 | Infuse Mee Home Health Care LLC | Home Health | 13575 58th St N Ste 174, Clearwater, FL 33760-3741 | 2020-09-29 |
1053928135 | Barbara Y Santelices | Behavior Technician | 1799 N Highland Ave Apt M168, Clearwater, FL 33755-2132 | 2020-09-23 |
1174139521 | Elizabeth Adams | Nurse Practitioner | 2515 Bramblewood Dr E, Clearwater, FL 33763-1212 | 2020-09-21 |
1467068197 | Avm Compounding Pharmacy LLC | Pharmacy | 501 S Lincoln Ave Ste 203, Clearwater, FL 33756-5945 | 2020-09-18 |
Find all providers in CLEARWATER |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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Find all providers with the same taxonomy |
City | CLEARWATER |
Zip Code | 68726 |
Please comment or provide details below to improve the information on ANTELOPE MEMORIAL HOSPITAL.
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.