# WEST HOLT MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Holt Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366492472
- **Authorized official:** JEREMY BAUER (CFO)
- **Authorized official phone:** (402) 925-1947

## Contact information

- **Practice address:** 405 W PEARL ST, ATKINSON, NE 68713-4882
- **Practice address phone:** (402) 925-2631
- **Practice address fax:** (402) 925-2914
- **Mailing address:** PO BOX 458, ATKINSON, NE 68713-0458
- **Mailing address phone:** (402) 925-2631
- **Mailing address fax:** (402) 925-2914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 12/17/2021