ANTELOPE MEMORIAL HOSPITAL (NPI# 1669563987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669563987 |
| Entity Type | Organization |
| Organization Name | ANTELOPE MEMORIAL HOSPITAL |
| Other Organization Name | AMH FAMILY PRACTICE |
| Practice Address |
109 W 11th St Neligh NE 68756-1065 |
| Mailing Address |
Po Box 109 Neligh NE 68756-0109 |
| Practice Telephone | 4028875440 |
| Practice Fax Number | 4028874564 |
| Mailing Telephone | 4028875440 |
| Mailing Fax Number | 4028874564 |
| Enumeration Date | 2006-09-28 |
| 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 | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| 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 |
| 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 |
| 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 |
109 W 11TH ST |
| City | NELIGH |
| State | NE |
| Zip Code | 68756-1065 |
| 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 |
| 1275044471 | Angela M Sucha | Physician Assistant | 109 W 11th St, Neligh, NE 68756-1065 | 2017-10-16 |
| 1922458181 | Ashley M Niewohner | Nurse Practitioner | 109 W 11th St, Neligh, NE 68756-1065 | 2016-06-20 |
| 1366892523 | Lindsey J Badertscher | Physician Assistant | 109 W 11th St, Neligh, NE 68756-1065 | 2016-06-20 |
| 1518006469 | Carol Louise Anderson | Registered Nurse | 109 W 11th St, Neligh, NE 68756-1065 | 2007-02-06 |
| 1528044575 | Patricia A Good | Nurse Practitioner | 109 W 11th St, Neligh, NE 68756-1065 | 2005-12-21 |
| 1831175256 | Troy Olan Dawson | Family Medicine | 109 W 11th St, Neligh, NE 68756-1065 | 2005-12-17 |
| 1477539898 | Sharon A Gossman | Nurse Practitioner | 109 W 11th St, Neligh, NE 68756-1065 | 2005-12-17 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 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.