# PENDER COMMUNITY HOSPITAL DISTRICT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PENDER COMMUNITY HOSPITAL DISTRICT
- **Other names:** Pender Medical Clinic PCMH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265092142
- **Legal business name:** PENDER COMMUNITY HOSPITAL DISTRICT
- **Authorized official:** LAURA J GAMBLE (CEO)
- **Authorized official phone:** (402) 385-3083

## Contact information

- **Practice address:** 958 WELLNESS WAY STE 1, PENDER, NE 68047-4518
- **Practice address phone:** (402) 385-3033
- **Practice address fax:** (402) 385-4041
- **Mailing address:** PO BOX 100, PENDER, NE 68047-0100
- **Mailing address phone:** (402) 385-3033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/13/2019
- **Last updated:** 10/17/2022