THAYER COUNTY MEMORIAL HOSPITAL (NPI# 1558347575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558347575 |
| Entity Type | Organization |
| Organization Name | THAYER COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | HEBRON MEDICAL CLINIC |
| Practice Address |
120 Park Ave Hebron NE 68370-2019 |
| Practice Telephone | 4027687023 |
| Practice Fax Number | 4027684640 |
| Mailing Telephone | 4027686041 |
| Mailing Fax Number | 4027684640 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | PAUL R. EDWARDS (CEO) |
| Authorized Official Telephone | 4027686041 |
| Is Organization Subpart | Y |
| Parent Organization Name | THAYER COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| HEBRON MEDICAL CLINIC | Doing Business As Name - Organization |
| Thayer County Health Services Hebron Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659357507 | Thayer County Memorial Hospital | Clinic/Center | 615 4th St, Deshler, NE 68340-1811 | 2005-12-21 |
| 1407832355 | Thayer County Memorial Hospital | Clinic/Center | 116 Huron St, Chester, NE 68327-6012 | 2005-12-21 |
| 1245216274 | Thayer County Memorial Hospital | Clinic/Center | 108 S Filmore St, Bruning, NE 68322-4078 | 2005-12-21 |
| 1972589349 | Thayer County Memorial Hospital | Clinic/Center | 105 S Linden Ave, Davenport, NE 68335-3129 | 2005-12-19 |
| 1992302236 | Thayer County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 428 Lincoln Ave, Hebron, NE 68370-1526 | 2020-10-08 |
| 1093792830 | Thayer County Memorial Hospital | General Acute Care Hospital | 120 Park Ave, Hebron, NE 68370-2019 | 2005-12-22 |
| 1063498921 | Thayer County Memorial Hospital | Family Medicine | 519 Main Street, Milligan, NE 68406 | 2005-12-21 |
| 1174509194 | Thayer County Memorial Hospital | Home Health | 120 Park Ave, Hebron, NE 68370 | 2005-12-21 |
| 1992787949 | Thayer County Memorial Hospital | Pharmacy | 120 Park Ave, Hebron, NE 68370-2019 | 2005-11-16 |
| 1326029984 | Thayer County Memorial Hospital | General Acute Care Hospital | 120 Park Ave, Hebron, NE 68370-2019 | 2005-11-10 |
| Street Address |
120 PARK AVE |
| City | HEBRON |
| State | NE |
| Zip Code | 68370-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043291131 | Margaret M Johnson | Physician Assistant | 120 Park Ave, Hebron, NE 68370-2019 | 2005-11-07 |
| 1326679184 | Jayda Edgar | Registered Nurse | 120 Park Ave, Hebron, NE 68370-2019 | 2020-01-30 |
| 1184109324 | Jarie Sones | Nurse Practitioner | 120 Park Ave, Hebron, NE 68370-2019 | 2018-10-02 |
| 1093259541 | Kathryn Ann Retzlaff | Dietitian, Registered | 120 Park Ave, Hebron, NE 68370-2019 | 2016-12-16 |
| 1982013264 | Jessica Zimmerman | General Acute Care Hospital | 120 Park Ave, Hebron, NE 68370-2019 | 2014-08-12 |
| 1851642102 | Michael Wayne Logsdon | Pharmacist | 120 Park Ave, Hebron, NE 68370 | 2012-09-26 |
| 1699034280 | Leann Heinrichs | Family Medicine | 120 Park Ave, Hebron, NE 68370-2019 | 2012-05-16 |
| 1811164858 | Chie Boyer | Speech-Language Pathologist | 120 Park Ave, Hebron, NE 68370-2019 | 2008-05-09 |
| 1972778991 | Traci Zelenka | Physical Therapy Assistant | 120 Park Ave, Hebron, NE 68370-2019 | 2008-04-30 |
| 1225168180 | Terry Lynn Schaldecker | Pharmacist | 120 Park Ave, Hebron, NE 68370 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346794864 | Jennalee Marie Harris | Counselor | 6150 Highway 136 Suite 1, Hebron, NE 68370 | 2016-08-12 |
| 1225041486 | City of Hebron | Ambulance | 5th & Jefferson, Hebron, NE 68370 | 2006-08-15 |
| 1043301138 | The County of Thayer | Ambulance | 225 N. 4th Street, Hebron, NE 68370-0201 | 2006-09-27 |
| 1932391729 | Blue Valley Lutheran Homes Society Inc | Assisted Living Facility | 1 Terrace Cir, Hebron, NE 68370-1071 | 2007-08-15 |
| 1265710008 | Aaron Dye | Physical Therapist | 147 Northside Cir, Hebron, NE 68370-1109 | 2011-07-27 |
| 1073709978 | Bradley Donald Cooper | Physical Therapist | 535 N 9th St, Hebron, NE 68370-1403 | 2007-09-24 |
| 1255707188 | Michelle Souerdyke | Speech-Language Pathologist | 930 Eads Ave, Hebron, NE 68370-1420 | 2015-08-14 |
| 1710460670 | Brenda Glunz | Psychologist | 930 Eads Ave, Hebron, NE 68370-1420 | 2018-09-07 |
| 1952506743 | Kelcey Berg | Dentist | 124 N 5th St, Hebron, NE 68370-1512 | 2007-06-20 |
| 1912292038 | Jim Cossaart Dds | Dentist | 124 N 5th St, Hebron, NE 68370-1512 | 2011-06-16 |
| Find all providers in zip 68370 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376651463 | Jacobson Memorial Hospital Care Center | Clinic/Center | 811 Main St, Hebron, ND 58638 | 2006-08-28 |
| 1144797986 | Dedicated Family Health | Clinic/Center | 117 N Main St, Hebron, IN 46341-8971 | 2018-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366962706 | Ogallala Community Hospital | Clinic/Center | 2601 N Spruce St Ste A, Ogallala, NE 69153-2465 | 2017-06-27 |
| 1104228451 | Lexington Regional Health Center | Clinic/Center | 1105 N Erie St, Lexington, NE 68850-1504 | 2014-09-18 |
| 1255761631 | Kimball County Hospital | Clinic/Center | 922 1/2 Sherman Street, Potter, NE 69156-0163 | 2013-11-20 |
| 1629344692 | Avera St Anthonys Hospital | Clinic/Center | 103 S Thayer St, Spencer, NE 68777-9784 | 2012-03-23 |
| 1003182072 | Avera St Anthonys Hospital | Clinic/Center | 202 Nebraska St, Ewing, NE 68735-9513 | 2012-03-23 |
| 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 |
| 1922269828 | Chadron Community Hospital Corp. | Clinic/Center | 11 Paddock St, Crawford, NE 69339-1143 | 2008-06-23 |
| 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.