MERRICK MEDICAL CENTER (NPI# 1790216174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790216174 |
| Entity Type | Organization |
| Organization Name | MERRICK MEDICAL CENTER |
| Other Organization Name | MERRICK MEDICAL CENTER PROFESSIONAL SERVICES |
| Practice Address |
1715 26th St Central City NE 68826-9501 |
| Practice Telephone | 3089463015 |
| Practice Fax Number | 3089465914 |
| Mailing Telephone | 3089463015 |
| Mailing Fax Number | 3089465914 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | PATRICK J AVILA (PRESIDENT/CEO) |
| Authorized Official Telephone | 3089463015 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERRICK MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MERRICK MEDICAL CENTER PROFESSIONAL SERVICES | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1715 26th St, Central City, NE 688269501 | 3089463015 | 3089465914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619402161 | Merrick Medical Center | Pharmacy | 1715 26th St, Central City, NE 68826-9501 | 2017-04-21 |
| 1942732227 | Merrick Medical Center | Family Medicine | 2510 18th Ave, Central City, NE 68826-2123 | 2017-03-28 |
| 1306377783 | Merrick Medical Center | Medicare Defined Swing Bed Unit | 1715 26th St, Central City, NE 68826-9501 | 2017-03-27 |
| 1386175164 | Merrick Medical Center | General Acute Care Hospital | 1715 26th St, Central City, NE 68826-9501 | 2017-03-23 |
| 1124559901 | Merrick Medical Center | Family Medicine | 901 Broadway St, Fullerton, NE 68638-3151 | 2017-03-23 |
| Street Address |
1715 26TH ST |
| City | CENTRAL CITY |
| State | NE |
| Zip Code | 68826-9501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598709958 | Reginald Lee Hain | Pharmacist | 1715 26th St, Central City, NE 68826-9501 | 2006-06-16 |
| 1316449663 | Alysha A Mclean | Physician Assistant | 1715 26th St, Central City, NE 68826 | 2018-03-02 |
| 1619402161 | Merrick Medical Center | Pharmacy | 1715 26th St, Central City, NE 68826-9501 | 2017-04-21 |
| 1306377783 | Merrick Medical Center | Medicare Defined Swing Bed Unit | 1715 26th St, Central City, NE 68826-9501 | 2017-03-27 |
| 1386175164 | Merrick Medical Center | General Acute Care Hospital | 1715 26th St, Central City, NE 68826-9501 | 2017-03-23 |
| 1093107286 | Allyn Komorowski | Pharmacist | 1715 26th St, Central City, NE 68826-9501 | 2015-02-24 |
| 1104226893 | Stephanie Scott | Dietitian, Registered | 1715 26th St, Central City, NE 68826-9501 | 2014-08-29 |
| 1770997827 | Jolene Loree Dittmer | Licensed Practical Nurse | 1715 26th St, Central City, NE 68826-9501 | 2014-06-17 |
| 1336578624 | Amanda Gulbrandson | Registered Nurse | 1715 26th St, Central City, NE 68826-9501 | 2013-11-06 |
| 1235568643 | Connie Loseke | Licensed Practical Nurse | 1715 26th St, Central City, NE 68826-9501 | 2013-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164852299 | Kayla Neemeyer | Registered Nurse | 1716 26th Street, Central City, NE 68826 | 2013-11-27 |
| 1750452108 | Eyecare Associates | Optometrist | 213 1/2 G St., Central City, NE 68826 | 2006-11-09 |
| 1104935071 | Brandon Lee Mclaughlin | Family Medicine | 2510 18th Ave, Central City, NE 68826 | 2006-08-30 |
| 1215160601 | Family First Dental Associates of West Point, P.C. | Dentist | 1617 17th Ave, Central City, NE 68826-1711 | 2009-09-01 |
| 1962735035 | Matthew James Coon | Dentist | 1617 17th Ave, Central City, NE 68826-1711 | 2009-09-08 |
| 1346211406 | Kurt D. Vollers | Chiropractor | 215 G St, Central City, NE 68826-1729 | 2006-01-27 |
| 1801139639 | Central City Chiropractic & Wellness Clinic PC | Chiropractor | 215 G St, Central City, NE 68826-1729 | 2013-03-29 |
| 1841585536 | Fsth Inc | Pharmacy | 401 G St, Central City, NE 68826-1755 | 2011-06-10 |
| 1346659315 | Lorena Wenger | Chiropractor | 1530 17th Ave, Central City, NE 68826-1766 | 2014-08-04 |
| 1407461056 | Next Level Chiropractic, P.C. | Chiropractor | 1530 17th Ave, Central City, NE 68826-1766 | 2020-09-10 |
| Find all providers in zip 68826 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336201862 | Jerry W Nein | Emergency Medicine | 222 Phillip Stone Way, Central City, KY 42330-1929 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626991 | Millard Family Hospital, LLC | Emergency Medicine | 14404 Stoney Brook Blvd, Omaha, NE 68137 | 2019-05-31 |
| 1962900829 | Douglas J. Weedman, M.d., L.L.C. | Emergency Medicine | 210 S 16th St Apt 618, Omaha, NE 68102-1634 | 2018-01-25 |
| 1487161139 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 1130 S 13th St Ste 100, Norfolk, NE 68701-5733 | 2018-01-03 |
| 1063933935 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 5000 N 26th St Ste 300, Lincoln, NE 68521-4749 | 2017-06-30 |
| 1235659202 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 6005 N 72nd St Ste 101, Omaha, NE 68134-2300 | 2017-06-21 |
| 1417477498 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 5062 S 155th St Ste 101, Omaha, NE 68137-5002 | 2017-06-21 |
| 1992225973 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 225 N Saddle Creek Rd Ste 101, Omaha, NE 68131-2228 | 2017-06-21 |
| 1285160614 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 750 Allen Drive, Grand Island, NE 68803-3337 | 2017-05-04 |
| 1366974776 | Cody Bonk | Emergency Medicine | 981150 Nebraska Medical Ctr Dept Of, Omaha, NE 68198-3522 | 2017-04-03 |
| 1588109508 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 8124 S 84th St, La Vista, NE 68128-3305 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
| City | CENTRAL CITY |
| Zip Code | 68826 |
Please comment or provide details below to improve the information on MERRICK MEDICAL CENTER.
| 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.