| Gothenburg Memorial Hospital | |
|
918 20th St Gothenburg NE 69138-1237 | |
| (308) 537-4066 | |
| (308) 537-4038 |
| Full Name | Gothenburg Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 918 20th St, Gothenburg, Nebraska |
| Authorized Official Name and Position | Michael Brant (CEO) |
| Authorized Official Contact | 3085373661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gothenburg Memorial Hospital Po Box 469 Gothenburg NE 69138-0469 Ph: (308) 537-3661 | Gothenburg Memorial Hospital 918 20th St Gothenburg NE 69138-1237 Ph: (308) 537-4066 |
| NPI Number | 1477953305 |
|---|---|
| Provider Enumeration Date | 08/28/2014 |
| Last Update Date | 10/09/2019 |
| Medicare PECOS PAC ID | 6709832983 |
|---|---|
| Medicare Enrollment ID | O20140919001001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477953305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
David Hult, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 20th Street, Gothenburg, NE 69138 Phone: 308-537-7131 Fax: 308-537-7310 | |
Christopher P Costa Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 9th Street, Gothenburg, NE 69138 Phone: 308-537-2222 Fax: 308-537-2960 | |
Carol Shackleton, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 20th Street, Gothenburg, NE 69138 Phone: 308-537-7131 Fax: 308-537-7310 | |
Craig D Bartruff, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 10th St, Gothenburg, NE 69138 Phone: 308-537-3673 Fax: 308-537-3675 | |
Craig D Bartruff M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 10th St, Gothenburg, NE 69138 Phone: 308-537-3673 Fax: 308-537-3675 | |
Gothenburg Family Practice Rural Health Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 20th Street, Gothenburg, NE 69138 Phone: 308-537-7131 Fax: 308-537-7310 |