Organization
THAYER COUNTY MEMORIAL HOSPITAL
Active
Organization
THAYER COUNTY MEMORIAL HOSPITAL
Active
Parent organization
THAYER COUNTY MEMORIAL HOSPITAL
Other names
Davenport Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
THAYER COUNTY MEMORIAL HOSPITAL
Authorized official
BRIAN ROKUSEK (CEO)
(402) 768-6041
Entity
Organization
Contact information
Practice address
105 S LINDEN AVE, DAVENPORT, NE 68335-3129
(402) 364-2105
(402) 768-4640
Mailing address
120 PARK AVE, HEBRON, NE 68370-2019
(402) 768-6041
(402) 768-4643
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
=========
—
NE
Enumeration date
12/19/2005
Last updated
12/17/2021
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