Organization
PHELPS MEMORIAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
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
282NC0060X
Critical Access Hospital
Primary
610003
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00097
BCBS HOSPITAL
NE
05
—
100099700A
—
KS
01
—
142918400
US DEPT OF LABOR
—
05
—
40-4784043
—
MI
01
—
N002951
TRICARE HOSPITAL
—
Enumeration date
04/28/2006
Last updated
06/06/2019
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