Organization
MERRICK MEDICAL CENTER
Active
Parent organization
MERRICK MEDICAL CENTER
Other names
MERRICK MEDICAL CENTER PROFESSIONAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERRICK MEDICAL CENTER
Authorized official
JODI S MOHR (CEO)
(402) 946-3015
Entity
Organization
Contact information
Practice address
2802 28TH ST, CENTRAL CITY, NE 68826-2707
(308) 946-3015
(308) 946-5914
Mailing address
PO BOX 860874, MINNEAPOLIS, MN 55486-0874
(308) 946-3015
(308) 946-5914
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
363A00000X
Physician Assistant
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/27/2017
Last updated
07/24/2024
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