Organization
PHELPS MEMORIAL HEALTH CENTER
Active
Parent organization
PHELPS MEMORIAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHELPS MEMORIAL HEALTH CENTER
Authorized official
MR. MARK D HARREL (CEO)
(308) 995-2211
Entity
Organization
Contact information
Practice address
1215 TIBBALS ST, HOLDREGE, NE 68949-1255
(308) 995-2211
(308) 995-3223
Mailing address
1215 TIBBALS ST, HOLDREGE, NE 68949-1255
(308) 995-2211
(308) 995-3223
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
N/A
NE
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
N/A
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09036
BCBS DME
NE
Enumeration date
05/03/2006
Last updated
04/27/2022
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