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
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
610003
NE
282NC0060X
Critical Access Hospital
610003
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0409
BCBS SWINGBED
NE
05
—
0918672
—
IA
01
—
142918400
US DEPT OF LABOR
—
05
—
2315819
—
OH
05
—
30-4784016
—
MI
05
—
40-4784043
—
MI
01
—
N002951
TRICARE HOSPITAL
—
Enumeration date
05/03/2006
Last updated
06/06/2019
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