| Antelope Memorial Hospital | |
|
308 Nevada St Clearwater NE 68726-5349 | |
| (402) 485-2277 | |
| Not Available |
| Full Name | Antelope Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 308 Nevada St, Clearwater, Nebraska |
| Authorized Official Name and Position | Diane M Brugger (ADMINISTRATOR) |
| Authorized Official Contact | 4028874151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antelope Memorial Hospital Po Box 109 Neligh NE 68756-0109 Ph: (402) 887-5440 | Antelope Memorial Hospital 308 Nevada St Clearwater NE 68726-5349 Ph: (402) 485-2277 |
| NPI Number | 1538242490 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 11/18/2022 |
| Medicare PECOS PAC ID | 5496733156 |
|---|---|
| Medicare Enrollment ID | O20040709000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538242490 | NPI | - | NPPES |
| 10025168900 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |