Organization
BRODSTONE MEMORIAL HOSPITAL
Active
Parent organization
BRODSTONE MEMORIAL HOSPITAL
Other names
BRODSTONE HEALTHCARE, BRODSTONE MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRODSTONE MEMORIAL HOSPITAL
Authorized official
TREG VYZOUREK (CEO)
(402) 879-3281
Entity
Organization
Contact information
Practice address
520 E 10TH ST, SUPERIOR, NE 68978-1225
(402) 879-3281
(402) 879-3401
Mailing address
PO BOX 187, SUPERIOR, NE 68978-0187
(402) 879-3281
(402) 879-3401
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
570001
NE
Other
Enumeration date
10/17/2006
Last updated
03/23/2022
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