ANTELOPE MEMORIAL HOSPITAL (NPI# 1770669582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770669582 |
| Entity Type | Organization |
| Organization Name | ANTELOPE MEMORIAL HOSPITAL |
| Practice Address |
102 W 9th St Neligh NE 68756-1114 |
| Mailing Address |
Po Box 229 Neligh NE 68756-0229 |
| Practice Telephone | 4028874151 |
| Practice Fax Number | 4028874092 |
| Mailing Telephone | 4028874151 |
| Mailing Fax Number | 4028874092 |
| Enumeration Date | 2006-10-27 |
| 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 | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
020001 | NE | Hospitals |
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 020001 | NE | Hospital Units |
| 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 |
| 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 |
| 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 |
| 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 | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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.