Organization
ANTELOPE MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIANE M. BRUGGER (ADMINISTRATOR)
(402) 887-4151
Entity
Organization
Contact information
Practice address
102 WEST 9TH ST, BOX 229, NELIGH, NE 68756-0229
(402) 887-4151
(402) 887-4092
Mailing address
102 W 9TH ST, BOX 229, NELIGH, NE 68756-1114
(402) 887-4151
(402) 887-4092
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
020001
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115
BLUE CROSS BLUE SHIELD
NE
Enumeration date
07/24/2008
Last updated
11/18/2022
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