| Brodstone Memorial Hospital | |
|
315 N C St Edgar NE 68935-3194 | |
| (402) 224-3344 | |
| (402) 224-3346 |
| Full Name | Brodstone Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 315 N C St, Edgar, Nebraska |
| Authorized Official Name and Position | Treg Vyzourek (CEO) |
| Authorized Official Contact | 4028793281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brodstone Memorial Hospital Po Box 407 Superior NE 68978-0407 Ph: (402) 879-4781 | Brodstone Memorial Hospital 315 N C St Edgar NE 68935-3194 Ph: (402) 224-3344 |
| NPI Number | 1699746248 |
|---|---|
| Provider Enumeration Date | 01/31/2006 |
| Last Update Date | 03/23/2022 |
| Medicare PECOS PAC ID | 4082513015 |
|---|---|
| Medicare Enrollment ID | O20170612001904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699746248 | NPI | - | NPPES |
| 10025359800 | Medicaid | NE | |
| 10025288500 | Medicaid | NE |
The Mary Lanning Memorial Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 N C St, Edgar, NE 68935 Phone: 402-224-3344 Fax: 402-224-3099 |