# PENDER COMMUNITY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PENDER COMMUNITY HOSPITAL DISTRICT
- **Other names:** PCH Professional Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992869101
- **Legal business name:** PENDER COMMUNITY HOSPITAL DISTRICT
- **Authorized official:** LAURA J GAMBLE (CEO)
- **Authorized official phone:** (402) 385-3083

## Contact information

- **Practice address:** 100 HOSPITAL DR, PENDER, NE 68047-4507
- **Practice address phone:** (402) 385-3083
- **Practice address fax:** (402) 385-1870
- **Mailing address:** PO BOX 100, PENDER, NE 68047-0100
- **Mailing address phone:** (402) 385-4012
- **Mailing address fax:** (402) 385-1870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 10/17/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 03587 | BCBSNE PROF SERVICES | NE |