THAYER COUNTY MEMORIAL HOSPITAL (NPI# 1972589349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972589349 |
| Entity Type | Organization |
| Organization Name | THAYER COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | DAVENPORT MEDICAL CLINIC |
| Practice Address |
105 S Linden Ave Davenport NE 68335-3129 |
| Mailing Address |
120 Park Ave Hebron NE 68370-2019 |
| Practice Telephone | 4023642105 |
| Practice Fax Number | 4027684640 |
| Mailing Telephone | 4027686041 |
| Mailing Fax Number | 4027684643 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | PAUL R. EDWARDS (CEO) |
| Authorized Official Telephone | 4027686041 |
| Is Organization Subpart | Y |
| Parent Organization Name | THAYER COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | ========= | 05 |
| Other Name | Type Code |
|---|---|
| Davenport Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659357507 | Thayer County Memorial Hospital | Clinic/Center | 615 4th St, Deshler, NE 68340-1811 | 2005-12-21 |
| 1407832355 | Thayer County Memorial Hospital | Clinic/Center | 116 Huron St, Chester, NE 68327-6012 | 2005-12-21 |
| 1245216274 | Thayer County Memorial Hospital | Clinic/Center | 108 S Filmore St, Bruning, NE 68322-4078 | 2005-12-21 |
| 1992302236 | Thayer County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 428 Lincoln Ave, Hebron, NE 68370-1526 | 2020-10-08 |
| 1093792830 | Thayer County Memorial Hospital | General Acute Care Hospital | 120 Park Ave, Hebron, NE 68370-2019 | 2005-12-22 |
| 1063498921 | Thayer County Memorial Hospital | Family Medicine | 519 Main Street, Milligan, NE 68406 | 2005-12-21 |
| 1174509194 | Thayer County Memorial Hospital | Home Health | 120 Park Ave, Hebron, NE 68370 | 2005-12-21 |
| 1558347575 | Thayer County Memorial Hospital | Clinic/Center | 120 Park Ave, Hebron, NE 68370-2019 | 2005-12-21 |
| 1992787949 | Thayer County Memorial Hospital | Pharmacy | 120 Park Ave, Hebron, NE 68370-2019 | 2005-11-16 |
| 1326029984 | Thayer County Memorial Hospital | General Acute Care Hospital | 120 Park Ave, Hebron, NE 68370-2019 | 2005-11-10 |
| Street Address |
105 S LINDEN AVE |
| City | DAVENPORT |
| State | NE |
| Zip Code | 68335-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790996668 | Chaney Furniture Company | Durable Medical Equipment & Medical Supplies | 1523 Stone Street, Chaney Furniture Company, Falls City, NE 68335-0267 | 2007-05-24 |
| 1295293801 | Angela Kara Brase | Registered Nurse | 106 N Juniper Ave, Davenport, NE 68335-3010 | 2019-03-04 |
| 1023206281 | Nathan Scott Onnen | Pharmacist | 2220 Road 5000, Davenport, NE 68335-3029 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070777 | Carlie Shannon | Social Worker | 736 Federal St., Ste. 1-103, Davenport, IA 52803-5768 | 2020-10-12 |
| 1568069276 | Shannon Lea Wright | Pharmacist | 2021 Camden Loop, Davenport, FL 33837-1796 | 2020-10-06 |
| 1447857222 | Caren R Nituda | Nurse Practitioner | 1051 Andalusia Loop, Davenport, FL 33837-1443 | 2020-10-05 |
| 1447857123 | Omayra Rolon-rivera | Case Manager/Care Coordinator | 1371 Tuscana Ln Apt 6102, Davenport, FL 33896-5302 | 2020-10-05 |
| 1407463649 | Morrison Community Hospital District | Clinic/Center | 4622 Progress Dr Ste C, Davenport, IA 52807-3426 | 2020-09-30 |
| 1649887399 | Chelsea White | Nurse Practitioner | 225 Lake Davenport Blvd, Davenport, FL 33897-5425 | 2020-09-28 |
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1598371270 | Samantha Delores Gartner | Physician Assistant | 518 W Locust St # 287, Davenport, IA 52803-2829 | 2020-09-18 |
| 1497360796 | Ashlee Elizabeth Winter | Nurse Practitioner | 1132 Elderberry Dr, Davenport, FL 33897-3853 | 2020-09-14 |
| 1316552052 | Shannon Kathleen Christiansen | Chiropractor | 2108 Vine St, Davenport, IA 52804-2056 | 2020-09-10 |
| Find all providers in DAVENPORT | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366962706 | Ogallala Community Hospital | Clinic/Center | 2601 N Spruce St Ste A, Ogallala, NE 69153-2465 | 2017-06-27 |
| 1104228451 | Lexington Regional Health Center | Clinic/Center | 1105 N Erie St, Lexington, NE 68850-1504 | 2014-09-18 |
| 1255761631 | Kimball County Hospital | Clinic/Center | 922 1/2 Sherman Street, Potter, NE 69156-0163 | 2013-11-20 |
| 1629344692 | Avera St Anthonys Hospital | Clinic/Center | 103 S Thayer St, Spencer, NE 68777-9784 | 2012-03-23 |
| 1003182072 | Avera St Anthonys Hospital | Clinic/Center | 202 Nebraska St, Ewing, NE 68735-9513 | 2012-03-23 |
| 1477827244 | Cheyenne County Hospital Association Inc | Clinic/Center | 562 Vincent Ave, Chappell, NE 69129-9713 | 2012-02-27 |
| 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.