GOTHENBURG MEMORIAL HOSPITAL (NPI# 1922051531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922051531 |
| Entity Type | Organization |
| Organization Name | GOTHENBURG MEMORIAL HOSPITAL |
| Other Organization Name | GOTHENBURG HEALTH |
| Practice Address |
910 20th St Gothenburg NE 69138-1253 |
| Mailing Address |
Po Box 469 Gothenburg NE 69138-0469 |
| Practice Telephone | 3085373661 |
| Practice Fax Number | 3085373074 |
| Mailing Telephone | 3085373661 |
| Mailing Fax Number | 3085373074 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | MICHAEL BRANT (CEO) |
| Authorized Official Telephone | 3085373661 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| Other Name | Type Code |
|---|---|
| Gothenburg Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059766 | Gothenburg Memorial Hospital | Family Medicine | 918 20th St, Gothenburg, NE 69138-1237 | 2019-08-26 |
| 1912445404 | Gothenburg Memorial Hospital | Family Medicine | 114 N Main St, Brady, NE 69123-2749 | 2017-02-06 |
| 1477953305 | Gothenburg Memorial Hospital | Clinic/Center | 918 20th St, Gothenburg, NE 69138-1237 | 2014-08-28 |
| 1265502538 | Gothenburg Memorial Hospital | Medicare Defined Swing Bed Unit | 910 20th St, Gothenburg, NE 69138-1253 | 2006-11-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GOTHENBURG MEMORIAL HOSPITAL | 910 20th St, Gothenburg, NE 69138-1237 |
| Street Address |
910 20TH ST |
| City | GOTHENBURG |
| State | NE |
| Zip Code | 69138-1253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821526880 | Landen Haake | Physical Therapist | 910 20th St, Gothenburg, NE 69138-1237 | 2017-06-02 |
| 1396096400 | Jackie E Erb | Registered Nurse | 910 20th St, Gothenburg, NE 69138-1237 | 2012-09-28 |
| 1336443340 | Jacquelyn Mae Sedlacek | Physical Therapy Assistant | 910 20th St, Gothenburg, NE 69138-1237 | 2011-01-05 |
| 1538392139 | Colby Thomas Delatour | Physical Therapy Assistant | 910 20th St, Gothenburg, NE 69138-1237 | 2009-08-29 |
| 1518155621 | John Alan Daup | Occupational Therapist | 910 20th St, Gothenburg, NE 69138-1237 | 2007-10-15 |
| 1700910593 | Michele Spady | Physical Therapy Assistant | 910 20th St, Gothenburg, NE 69138-1237 | 2007-03-15 |
| 1093849796 | Craig Allen Johnson | Physical Therapist | 910 20th St, Gothenburg, NE 69138-1237 | 2007-03-15 |
| 1265502538 | Gothenburg Memorial Hospital | Medicare Defined Swing Bed Unit | 910 20th St, Gothenburg, NE 69138-1253 | 2006-11-08 |
| 1275643108 | Amanda Lathrop | Physical Therapist | 910 20th St, Gothenburg, NE 69138-1237 | 2006-08-30 |
| 1093722498 | Michael William Trierweiler | Obstetrics & Gynecology | 910 20th St, Gothenburg, NE 69138-1237 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215235023 | Gottenburg Senior Living, LLC | Assisted Living Facility | 110 20th Street, Gothenburg, NE 69138 | 2011-03-02 |
| 1215108758 | Shopko Stores Operating Co LLC | Pharmacy | 718 4th Street, Gothenburg, NE 69138 | 2008-03-12 |
| 1013047810 | Randal E Strohmyer | Dentist | 513 10th Street, Gothenburg, NE 69138 | 2007-03-07 |
| 1225177652 | Brenda Hiebner | Counselor | 815 Lake Ave, Gothenburg, NE 69138 | 2007-02-05 |
| 1790887917 | Royce Lydell Hiebner | Chiropractor | 417 9th St, Gothenburg, NE 69138 | 2006-09-01 |
| 1649652306 | Kayla S Knauss | Family Medicine | 918 20th St, Gothenburg, NE 69138 | 2015-06-18 |
| 1427499854 | Wendy Hunt Most | Counselor | 41190 Road 768, Gothenburg, NE 69138-1189 | 2013-07-14 |
| 1588022180 | Life Transitions LLC | Counselor | 41190 Road 768, Gothenburg, NE 69138-1189 | 2016-02-10 |
| 1871566695 | Garret T Shaw | Family Medicine | 918 20th St, Gothenburg, NE 69138-1237 | 2006-02-10 |
| 1750352480 | Amy S Mahar | Physician Assistant | 918 20th Street, Gothenburg, NE 69138-1237 | 2006-01-31 |
| Find all providers in zip 69138 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144633223 | Regional West Garden County | General Acute Care Hospital | 1100 West 2nd, Oshkosh, NE 69154-6117 | 2014-06-06 |
| 1184837262 | Alegent Health | General Acute Care Hospital | Midlands Hospital, 11111 South 84th Street, Papillion, NE 68046 | 2007-05-07 |
| 1467675629 | Chadron Community Hospital Corp. | General Acute Care Hospital | 825 Centennial Dr., Chadron, NE 69337-9400 | 2007-04-10 |
| 1982725644 | University of Nebraska Medical Center | General Acute Care Hospital | 985000 Nebraska Medical Center, Omaha, NE 68198-1150 | 2007-04-02 |
| 1609965805 | Osmond General Hospital Inc | General Acute Care Hospital | 402 N Maple St, Osmond, NE 68765-5726 | 2006-10-12 |
| 1093802688 | Dundy County Hospital | General Acute Care Hospital | 1313 North Cheyenne Street, Benkelman, NE 69021-3074 | 2006-10-06 |
| 1689769382 | Fillmore County Hospital | General Acute Care Hospital | 1900 F St, Geneva, NE 68361-2229 | 2006-10-04 |
| 1922106152 | Howard County Medical Center | General Acute Care Hospital | 1113 Sherman St, Saint Paul, NE 68873 | 2006-09-20 |
| 1063429694 | Memorial Community Health, Inc | General Acute Care Hospital | 1423 7th St, Aurora, NE 68818-1141 | 2006-08-03 |
| 1124035225 | Harlan County Health System | General Acute Care Hospital | 717 Brown St, Alma, NE 68920-2132 | 2006-08-02 |
| Find all providers with the same taxonomy | ||||
| City | GOTHENBURG |
| Zip Code | 69138 |
Please comment or provide details below to improve the information on GOTHENBURG 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.