Organization
PHELPS MEMORIAL HEALTH CENTER
Active
Parent organization
PHELPS MEMORIAL HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHELPS MEMORIAL HEALTH CENTER
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) 995-3367
Mailing address
1215 TIBBALS ST, HOLDREGE, NE 68949-1255
(308) 995-2211
(308) 995-3367
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81044
BCBS OF NE PROFESSIONAL
NE
Enumeration date
07/11/2006
Last updated
06/06/2019
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