PHELPS MEMORIAL HEALTH CENTER (NPI# 1891189809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891189809 |
| Entity Type | Organization |
| Organization Name | PHELPS MEMORIAL HEALTH CENTER |
| Other Organization Name | PHELPS MEDICAL GROUP |
| Practice Address |
1315 Tibbals St Holdrege NE 68949-1257 |
| Mailing Address |
1215 Tibbals St Holdrege NE 68949-1255 |
| Practice Telephone | 3089956111 |
| Mailing Telephone | 3089952211 |
| Mailing Fax Number | 3089953223 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2019-06-06 |
| Authorized Official Name | MR. MARK D HARREL (CEO) |
| Authorized Official Telephone | 3089952211 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHELPS MEMORIAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Phelps Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568018711 | Phelps Memorial Health Center | Physician Assistant | 1315 Tibbals St, Holdrege, NE 68949-1257 | 2019-08-14 |
| 1871528851 | Phelps Memorial Health Center | Dietitian, Registered | 1215 Tibbals St, Holdrege, NE 68949-1255 | 2006-07-11 |
| 1588622187 | Phelps Memorial Health Center | General Acute Care Hospital | 1215 Tibbals St, Holdrege, NE 68949-1255 | 2006-05-03 |
| 1477511822 | Phelps Memorial Health Center | Durable Medical Equipment & Medical Supplies | 1215 Tibbals St, Holdrege, NE 68949-1255 | 2006-05-03 |
| 1982662516 | Phelps Memorial Health Center | Home Health | 1215 Tibbals St, Holdrege, NE 68949-1255 | 2006-05-03 |
| 1629035936 | Phelps Memorial Health Center | General Acute Care Hospital | 1215 Tibbals St, Holdrege, NE 68949-1255 | 2006-04-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHELPS MEMORIAL HEALTH CENTER | 1215 Tibbals St, Holdrege, NE 68949-1255 |
| Street Address |
1315 TIBBALS ST |
| City | HOLDREGE |
| State | NE |
| Zip Code | 68949-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760429179 | High Plains Clinic, LLC | Family Medicine | 1315 Tibbals St, Holdrege, NE 68949-1257 | 2006-06-02 |
| 1568018711 | Phelps Memorial Health Center | Physician Assistant | 1315 Tibbals St, Holdrege, NE 68949-1257 | 2019-08-14 |
| 1760902159 | Danika Marie Peterson | Family Medicine | 1315 Tibbals St, Holdrege, NE 68949-1257 | 2017-06-26 |
| 1568662948 | Michelle T Hunter | Nurse Practitioner | 1315 Tibbals St, Holdrege, NE 68949-1257 | 2007-07-23 |
| 1831216936 | Amy J Farlee | Physician Assistant | 1315 Tibbals St, Holdrege, NE 68949-1257 | 2007-03-23 |
| 1871692889 | High Plains Clinic LLC | Durable Medical Equipment & Medical Supplies | 1315 Tibbals St, Holdrege, NE 68949-1257 | 2006-09-22 |
| 1740222769 | Richard K Reiner | Family Medicine | 1315 Tibbals St, Holdrege, NE 68949-1257 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740623354 | Wells Health PC | Chiropractor | 502 4th Ave., Holdrege, NE 68949 | 2013-04-12 |
| 1841568722 | Mileah A. Panter | Nurse Practitioner | Phelps Medical Group, 1315 Tibbals Street, Holdrege, NE 68949 | 2011-12-07 |
| 1386706984 | Grant Joel Hinze | Dentist | 725 Burlington, Holdrege, NE 68949 | 2006-12-14 |
| 1407922388 | Timothy Wade Fuehrer | Chiropractor | 812 4th Avenue, Holdrege, NE 68949 | 2006-11-24 |
| 1730271537 | South Central Behavioral Services | Clinic/Center | 701 4th Avenue, Suite 11a, Holdrege, NE 68949 | 2006-09-29 |
| 1396851572 | Douglas Mark Hohman | Dentist | 1223 Hill St, Holdrege, NE 68949 | 2006-08-21 |
| 1528004231 | Charlotte A Wirges | Family Medicine | 1315 Tibbals Street, Holdrege, NE 68949 | 2006-06-21 |
| 1962473835 | Great Plains Surgery PC | Surgery | 1138 Miller Street, Holdrege, NE 68949 | 2006-01-30 |
| 1104209337 | Kathryn Thelen | Family Medicine | 516 W 14th Ave Ste 100, Holdrege, NE 68949 | 2015-07-07 |
| 1790180263 | Sarah L Bader | Occupational Therapist | 516 W 14th Ave, Ste 200, Holdrege, NE 68949 | 2014-10-27 |
| Find all providers in zip 68949 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1104228451 | Lexington Regional Health Center | Clinic/Center | 1105 N Erie St, Lexington, NE 68850-1504 | 2014-09-18 |
| 1255761631 | Kimball County Hospital | Clinic/Center | 922 1/2 Sherman Street, Potter, NE 69156-0163 | 2013-11-20 |
| 1629344692 | Avera St Anthonys Hospital | Clinic/Center | 103 S Thayer St, Spencer, NE 68777-9784 | 2012-03-23 |
| 1003182072 | Avera St Anthonys Hospital | Clinic/Center | 202 Nebraska St, Ewing, NE 68735-9513 | 2012-03-23 |
| 1477827244 | Cheyenne County Hospital Association Inc | Clinic/Center | 562 Vincent Ave, Chappell, NE 69129-9713 | 2012-02-27 |
| 1356676761 | Oakland Mercy Hospital | Clinic/Center | 600 E Fulton St, Hooper, NE 68031-3074 | 2009-10-03 |
| 1659528412 | Regional West Physicians Clinic | Clinic/Center | 302 Center Ave, Morrill, NE 69358-3017 | 2008-08-25 |
| 1073776886 | Minden Family Practice Clinic Inc | Clinic/Center | 345 N Minden Ave, Minden, NE 68959-1657 | 2008-07-02 |
| 1922269828 | Chadron Community Hospital Corp. | Clinic/Center | 11 Paddock St, Crawford, NE 69339-1143 | 2008-06-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.