Organization
PENDER COMMUNITY HOSPITAL DISTRICT
Active
Parent organization
PENDER COMMUNITY HOSPITAL DISTRICT
Other names
PCH Professional Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENDER COMMUNITY HOSPITAL DISTRICT
Authorized official
LAURA J GAMBLE (CEO)
(402) 385-3083
Entity
Organization
Contact information
Practice address
100 HOSPITAL DR, PENDER, NE 68047-4507
(402) 385-3083
(402) 385-1870
Mailing address
PO BOX 100, PENDER, NE 68047-0100
(402) 385-4012
(402) 385-1870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03587
BCBSNE PROF SERVICES
NE
Enumeration date
12/21/2006
Last updated
10/17/2022
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