# ANTELOPE MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANTELOPE MEMORIAL HOSPITAL
- **Other names:** AMH Family Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568501302
- **Legal business name:** ANTELOPE MEMORIAL HOSPITAL
- **Authorized official:** DIANE M BRUGGER (ADMINISTRATOR)
- **Authorized official phone:** (402) 887-4151

## Contact information

- **Practice address:** 102 W 9TH ST, NELIGH, NE 68756-1114
- **Practice address phone:** (402) 887-4151
- **Practice address fax:** (402) 887-4092
- **Mailing address:** PO BOX 109, NELIGH, NE 68756-0109
- **Mailing address phone:** (402) 887-5440
- **Mailing address fax:** (402) 887-4564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 11/18/2022