Organization
MOUNT CARMEL HOME KEENS MEMORIAL
Active
Other names
Mount Carmel Home- Keens Memorial, Mt Carmel Home- Keens Memorial, Mt Carmel Home
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY BANDA (DIRECTOR OF OPERATIONS)
(308) 237-2287
Entity
Organization
Contact information
Practice address
412 W 18TH ST, KEARNEY, NE 68845-5948
(308) 237-2287
(308) 237-7264
Mailing address
412 W 18TH ST, KEARNEY, NE 68845-5948
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
074003
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00661
BLUE CROSS BLUE SHIELD
NE
Enumeration date
04/12/2006
Last updated
06/24/2022
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