ANTELOPE MEMORIAL HOSPITAL (NPI# 1568501302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568501302 |
| Entity Type | Organization |
| Organization Name | ANTELOPE MEMORIAL HOSPITAL |
| Other Organization Name | AMH FAMILY PRACTICE |
| Practice Address |
102 W 9th St Neligh NE 68756-1114 |
| Mailing Address |
Po Box 109 Neligh NE 68756-0109 |
| Practice Telephone | 4028874151 |
| Practice Fax Number | 4028874092 |
| Mailing Telephone | 4028875440 |
| Mailing Fax Number | 4028874564 |
| Enumeration Date | 2007-02-06 |
| 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 | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| AMH Family Practice | 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 |
| 1538242490 | Antelope Memorial Hospital | Family Medicine | 308 Nevada St, Clearwater, NE 68726-5349 | 2006-10-23 |
| 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 |
| 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 |
102 W 9TH ST |
| City | NELIGH |
| State | NE |
| Zip Code | 68756-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033292594 | Antelope Memorial Hospital | Home Health | 102 W 9th St, Neligh, NE 68756-1114 | 2006-10-20 |
| 1285273599 | Amanda J Wolff | Nurse Practitioner | 102 W 9th St, Neligh, NE 68756-1114 | 2020-01-03 |
| 1164982658 | Chelsey M Dierks | Physician Assistant | 102 W 9th St, Neligh, NE 68756-1114 | 2019-03-21 |
| 1588194468 | Timothy Allen Johnson | Nurse Anesthetist, Certified Registered | 102 W 9th St, Neligh, NE 68756-1114 | 2017-06-14 |
| 1588863773 | Matthew Kent Belitz | Physical Therapist | 102 W 9th St, Neligh, NE 68756-1114 | 2007-07-17 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376626879 | Brenda Sue Korth-wurdinger | Physician Assistant | 1108 R St, Neligh, NE 68756 | 2006-10-20 |
| 1902276694 | Lindsey Albrecht | Speech-Language Pathologist | 302 Main Street, Neligh, NE 68756 | 2015-10-07 |
| 1891720710 | Shirley Ann Claassen | General Practice | 411 N St, Neligh, NE 68756-0022 | 2006-07-11 |
| 1710142195 | Antelope Memorial Hospital | General Acute Care Hospital | 102 West 9th St, Box 229, Neligh, NE 68756-0229 | 2008-07-24 |
| 1790978583 | Neligh Clinic LLC | Clinic/Center | 1108 R St, Neligh, NE 68756-1022 | 2007-08-24 |
| 1851343263 | Ggnsc Neligh LLC | Skilled Nursing Facility | 1100 T St, Neligh, NE 68756-1027 | 2006-05-16 |
| 1336775592 | Jennifer Bernice Breuer | Physical Therapy Assistant | 1100 T St, Neligh, NE 68756-1027 | 2020-03-19 |
| 1861022485 | Morgan Pelster | Occupational Therapy Assistant | 1100 T St, Neligh, NE 68756-1027 | 2020-01-23 |
| 1235769076 | Natalie Dawn Mckillip | Physical Therapy Assistant | 1100 T St, Neligh, NE 68756-1027 | 2020-01-21 |
| 1356993265 | Arbor Care Centers - Neligh LLC | Skilled Nursing Facility | 1100 T St, Neligh, NE 68756-1027 | 2019-07-10 |
| Find all providers in zip 68756 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922084342 | Roger Paul Rudloff | Family Medicine | 109 W 11th St, Neligh, NE 68756-1065 | 2005-12-17 |
| 1760025191 | Antelope Memorial Hospital | Family Medicine | 109 W 11th St, Neligh, NE 68756-1065 | 2019-10-17 |
| 1831175256 | Troy Olan Dawson | Family Medicine | 109 W 11th St, Neligh, NE 68756-1065 | 2005-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898907 | Physician Management Services of Nebraska, LLC | Family Medicine | 2222 S 16th St Ste 435, Lincoln, NE 68502-3793 | 2020-07-14 |
| 1891313706 | Me Urgent Care Nebraska, Inc | Family Medicine | 28800 Ida Cir, Valley, NE 68064-8017 | 2020-07-07 |
| 1356968408 | Joanna Sarah Jacob | Family Medicine | 3601 Jones St Apt 350, Omaha, NE 68105-1526 | 2020-07-05 |
| 1255958443 | Sreelakshmi Surendran Pillai | Family Medicine | 7710 Mercy Road, Suite 202-cu, Department of Family Mediicine, Omaha, NE 68124-2353 | 2020-07-03 |
| 1891312443 | Stefany Malanka | Family Medicine | 7710 Mercy Rd, Suite 202, Cu Department of Family Medicine, Omaha, NE 68124 | 2020-06-30 |
| 1831714062 | Allison Alise Bird | Family Medicine | Family Practice 983075 Nebraska Medical Center, Omaha, NE 68198-3075 | 2020-06-12 |
| 1508486416 | Bluestem Health | Family Medicine | 1500 S 48th St Ste 412, Lincoln, NE 68506-1278 | 2020-04-21 |
| 1285267526 | Banyan Medical Systems | Family Medicine | 8656 F St, Plaza F, Omaha, NE 68127-1639 | 2020-02-14 |
| 1669021796 | Melissa Prickett | Family Medicine | 14000 Hospital Road, Boys Town, NE 68010 | 2019-09-11 |
| 1144888579 | Lexington Regional Health Center | Family Medicine | 1101 Buffalo Bnd Ste A, Lexington, NE 68850-1528 | 2019-05-31 |
| 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.