Organization
THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION
Active
Parent organization
THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION
Other names
Edgar Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION
Authorized official
MR. ERIC A BARBER (CEO)
(402) 461-5108
Entity
Organization
Contact information
Practice address
315 N C ST, EDGAR, NE 68935-3194
(402) 224-3344
(402) 224-3099
Mailing address
715 N SAINT JOSEPH AVE, HASTINGS, NE 68901-4497
(402) 463-4521
(402) 461-5321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4058
STATE LICENSE-HHS
NE
Enumeration date
09/08/2006
Last updated
09/12/2013
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