Organization
ANTELOPE MEMORIAL HOSPITAL
Active
Parent organization
ANTELOPE MEMORIAL HOSPITAL
Other names
AMH Tilden Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANTELOPE MEMORIAL HOSPITAL
Authorized official
DIANE M BRUGGER (ADMINISTRATOR)
(402) 887-4151
Entity
Organization
Contact information
Practice address
200 S ANTELOPE ST, TILDEN, NE 68781-4809
(402) 368-5520
Mailing address
PO BOX 109, NELIGH, NE 68756-0109
(402) 887-5440
(402) 887-4564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025168600
—
NE
Enumeration date
10/11/2006
Last updated
11/18/2022
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