BRODSTONE MEMORIAL HOSPITAL (NPI# 1699855023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699855023 |
| Entity Type | Organization |
| Organization Name | BRODSTONE MEMORIAL HOSPITAL |
| Practice Address |
520 E 10th St Superior NE 68978-1225 |
| Mailing Address |
Po Box 187 Superior NE 68978-0187 |
| Practice Telephone | 4028793281 |
| Practice Fax Number | 4028793401 |
| Mailing Telephone | 4028793281 |
| Mailing Fax Number | 4028793401 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SANDRA J BORDEN (CFO) |
| Authorized Official Telephone | 4028793281 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 570001 | NE | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477637619 | Brodstone Memorial Hospital | Home Health | 1050 Washington St, Superior, NE 68978-1149 | 2006-10-24 |
| 1114999547 | Brodstone Memorial Hospital | Family Medicine | 76 W 8th St, Nelson, NE 68961-6130 | 2006-02-01 |
| 1699746248 | Brodstone Memorial Hospital | Family Medicine | 315 N C St, Edgar, NE 68935-3194 | 2006-01-31 |
| 1306842604 | Brodstone Memorial Hospital | General Acute Care Hospital | 520 E 10th St, Superior, NE 68978-1225 | 2005-06-22 |
| 1073590626 | Brodstone Memorial Hospital | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRODSTONE MEMORIAL HOSPITAL | 520 E 10th St, Superior, NE 68978-1225 |
| Street Address |
520 E 10TH ST |
| City | SUPERIOR |
| State | NE |
| Zip Code | 68978-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306842604 | Brodstone Memorial Hospital | General Acute Care Hospital | 520 E 10th St, Superior, NE 68978-1225 | 2005-06-22 |
| 1992326490 | Douglas Wehrman | Physical Therapist | 520 E 10th St, Superior, NE 68978-1225 | 2020-05-06 |
| 1437770237 | Spencer Trapp | Physical Therapist | 520 E 10th St, Superior, NE 68978-1225 | 2020-05-03 |
| 1780038810 | Shannon Short | Pharmacist | 520 E 10th St, Superior, NE 68978-1225 | 2016-04-14 |
| 1932473030 | Angela Hanson-garver | Registered Nurse | 520 E 10th St, Superior, NE 68978-1225 | 2012-03-07 |
| 1699049791 | Nicole Marie Ordich | Registered Nurse | 520 E 10th St, Superior, NE 68978-1225 | 2012-03-07 |
| 1740554807 | Verlene Jeanette Watson | Registered Nurse | 520 E 10th St, Superior, NE 68978-1225 | 2012-03-06 |
| 1326361965 | David Lee Wroughton | Occupational Therapist | 520 E 10th St, Superior, NE 68978-1225 | 2010-03-10 |
| 1689905754 | Janis M Lindberg | Nutritionist | 520 E 10th St, Superior, NE 68978-1225 | 2010-01-28 |
| 1407186281 | Marie A Parvi | Nurse Anesthetist, Certified Registered | 520 E 10th St, Superior, NE 68978-1225 | 2009-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144475740 | Superior Vision PC | Eyewear Supplier (Equipment, not the service) | 358 Central Ave, Superior, NE 68978 | 2008-11-24 |
| 1427234160 | Elinor Lynn Wilton | Speech-Language Pathologist | 4034 Road C, Superior, NE 68978 | 2008-01-11 |
| 1780720904 | Sharon Greenwood | Counselor | 344 North Dakota, Superior, NE 68978 | 2007-01-29 |
| 1780776583 | South Central Behavioral Services | Clinic/Center | 520 East 10th Street, Broadstone Memorial Hospital, Superior, NE 68978 | 2006-09-29 |
| 1780804112 | Terry Dale Kermoade | Pharmacist | 520 East 10th Street, Superior, NE 68978 | 2007-04-26 |
| 1013024215 | Steve Abe Fox | Nurse Anesthetist, Certified Registered | 1324 Montana St, Superior, NE 68978-1038 | 2006-08-24 |
| 1790777936 | Timothy Blecha | Specialist | 525 E 11th St, Superior, NE 68978-1101 | 2005-08-15 |
| 1568756609 | Alisha Fangmeyer | Nurse Practitioner | 525 E 11th St, Superior, NE 68978-1101 | 2011-06-07 |
| 1245552140 | Matthew Gatlin | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2010-02-18 |
| 1073590626 | Brodstone Memorial Hospital | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| Find all providers in zip 68978 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
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|---|---|---|---|---|
| 1972710507 | St. Mary's Hospital of Superior | Medicare Defined Swing Bed Unit | 3500 Tower Ave, Superior, WI 54880-5335 | 2007-05-16 |
| 1720136088 | Missoula Community Health Services, Inc | Medicare Defined Swing Bed Unit | 1208 6th Ave, Superior, MT 59872-9618 | 2007-01-05 |
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|---|---|---|---|---|
| 1548391709 | Memorial Community Hospital Corporation | Medicare Defined Swing Bed Unit | 810 N. 22nd St, Blair, NE 68008-1128 | 2007-03-08 |
| 1982779039 | Gordon Memorial Hospital | Medicare Defined Swing Bed Unit | 300 East 8th, Gordon, NE 69343-1123 | 2006-11-22 |
| 1538264403 | Warren Memorial Hospital | Medicare Defined Swing Bed Unit | 905 2nd Street, Friend, NE 68359-1133 | 2006-09-14 |
| 1770541419 | Webster County Community Hospital | Medicare Defined Swing Bed Unit | 6th Street & Franklin Street, Red Cloud, NE 68970-0465 | 2006-05-03 |
| 1255334660 | Franklin County Memorial Hospital | Medicare Defined Swing Bed Unit | 1406 Q St, Franklin, NE 68939-1073 | 2005-05-31 |
| 1306377783 | Merrick Medical Center | Medicare Defined Swing Bed Unit | 1715 26th St, Central City, NE 68826-9501 | 2017-03-27 |
| 1073865168 | Facial Surgery Institute | Medicare Defined Swing Bed Unit | 2727 S 144th St, Suite 235, Omaha, NE 68144-5225 | 2012-10-12 |
| 1861765034 | Alegent Creighton Health | Medicare Defined Swing Bed Unit | 704 N 3rd St, Plainview, NE 68769-2047 | 2012-02-17 |
| 1134382849 | Chadron Community Hospital Corp. | Medicare Defined Swing Bed Unit | 825 Centennial Dr., Chadron, NE 69337-9400 | 2008-07-03 |
| 1255470092 | Providence Medical Center | Medicare Defined Swing Bed Unit | 1200 Providence Rd, Wayne, NE 68787-1212 | 2007-02-06 |
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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.