Organization
ANTELOPE MEMORIAL HOSPITAL
Active
Organization
ANTELOPE MEMORIAL HOSPITAL
Active
Parent organization
ANTELOPE MEMORIAL HOSPITAL
Other names
AMH FAMILY PRACTICE BCBS PCMH
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANTELOPE MEMORIAL HOSPITAL
Authorized official
MS. DIANE M. BRUGGER (ADMINISTRATOR)
(402) 887-4151
Entity
Organization
Contact information
Practice address
109 W 11TH ST, NELIGH, NE 68756-1065
(402) 887-5440
(402) 887-4564
Mailing address
PO BOX 109, NELIGH, NE 68756-0109
(402) 887-5440
(402) 887-4564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/17/2019
Last updated
11/18/2022
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