THAYER COUNTY MEMORIAL HOSPITAL (NPI# 1992787949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992787949 |
| Entity Type | Organization |
| Organization Name | THAYER COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | TCHS PHARMACY |
| Practice Address |
120 Park Ave Hebron NE 68370-2019 |
| Practice Telephone | 4027684611 |
| Practice Fax Number | 4027684693 |
| Mailing Telephone | 4027684611 |
| Mailing Fax Number | 4027684693 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-09-04 |
| Authorized Official Name | PAUL EDWARDS (CEO) |
| Authorized Official Telephone | 4027684614 |
| Is Organization Subpart | Y |
| Parent Organization Name | THAYER COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 2492 | NE | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2492 | NE | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
2492 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | STATE LICENSE | 2492 | 01 |
| NE | NCPDP | 2816366 | 01 |
| Other Name | Type Code |
|---|---|
| TCHS Pharmacy | Doing Business As Name - Organization |
| TCHS Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659357507 | Thayer County Memorial Hospital | Clinic/Center | 615 4th St, Deshler, NE 68340-1811 | 2005-12-21 |
| 1407832355 | Thayer County Memorial Hospital | Clinic/Center | 116 Huron St, Chester, NE 68327-6012 | 2005-12-21 |
| 1245216274 | Thayer County Memorial Hospital | Clinic/Center | 108 S Filmore St, Bruning, NE 68322-4078 | 2005-12-21 |
| 1972589349 | Thayer County Memorial Hospital | Clinic/Center | 105 S Linden Ave, Davenport, NE 68335-3129 | 2005-12-19 |
| 1992302236 | Thayer County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 428 Lincoln Ave, Hebron, NE 68370-1526 | 2020-10-08 |
| 1093792830 | Thayer County Memorial Hospital | General Acute Care Hospital | 120 Park Ave, Hebron, NE 68370-2019 | 2005-12-22 |
| 1063498921 | Thayer County Memorial Hospital | Family Medicine | 519 Main Street, Milligan, NE 68406 | 2005-12-21 |
| 1174509194 | Thayer County Memorial Hospital | Home Health | 120 Park Ave, Hebron, NE 68370 | 2005-12-21 |
| 1558347575 | Thayer County Memorial Hospital | Clinic/Center | 120 Park Ave, Hebron, NE 68370-2019 | 2005-12-21 |
| 1326029984 | Thayer County Memorial Hospital | General Acute Care Hospital | 120 Park Ave, Hebron, NE 68370-2019 | 2005-11-10 |
| Street Address |
120 PARK AVE |
| City | HEBRON |
| State | NE |
| Zip Code | 68370-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043291131 | Margaret M Johnson | Physician Assistant | 120 Park Ave, Hebron, NE 68370-2019 | 2005-11-07 |
| 1326679184 | Jayda Edgar | Registered Nurse | 120 Park Ave, Hebron, NE 68370-2019 | 2020-01-30 |
| 1184109324 | Jarie Sones | Nurse Practitioner | 120 Park Ave, Hebron, NE 68370-2019 | 2018-10-02 |
| 1093259541 | Kathryn Ann Retzlaff | Dietitian, Registered | 120 Park Ave, Hebron, NE 68370-2019 | 2016-12-16 |
| 1982013264 | Jessica Zimmerman | General Acute Care Hospital | 120 Park Ave, Hebron, NE 68370-2019 | 2014-08-12 |
| 1851642102 | Michael Wayne Logsdon | Pharmacist | 120 Park Ave, Hebron, NE 68370 | 2012-09-26 |
| 1699034280 | Leann Heinrichs | Family Medicine | 120 Park Ave, Hebron, NE 68370-2019 | 2012-05-16 |
| 1811164858 | Chie Boyer | Speech-Language Pathologist | 120 Park Ave, Hebron, NE 68370-2019 | 2008-05-09 |
| 1972778991 | Traci Zelenka | Physical Therapy Assistant | 120 Park Ave, Hebron, NE 68370-2019 | 2008-04-30 |
| 1225168180 | Terry Lynn Schaldecker | Pharmacist | 120 Park Ave, Hebron, NE 68370 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346794864 | Jennalee Marie Harris | Counselor | 6150 Highway 136 Suite 1, Hebron, NE 68370 | 2016-08-12 |
| 1225041486 | City of Hebron | Ambulance | 5th & Jefferson, Hebron, NE 68370 | 2006-08-15 |
| 1043301138 | The County of Thayer | Ambulance | 225 N. 4th Street, Hebron, NE 68370-0201 | 2006-09-27 |
| 1932391729 | Blue Valley Lutheran Homes Society Inc | Assisted Living Facility | 1 Terrace Cir, Hebron, NE 68370-1071 | 2007-08-15 |
| 1265710008 | Aaron Dye | Physical Therapist | 147 Northside Cir, Hebron, NE 68370-1109 | 2011-07-27 |
| 1073709978 | Bradley Donald Cooper | Physical Therapist | 535 N 9th St, Hebron, NE 68370-1403 | 2007-09-24 |
| 1255707188 | Michelle Souerdyke | Speech-Language Pathologist | 930 Eads Ave, Hebron, NE 68370-1420 | 2015-08-14 |
| 1710460670 | Brenda Glunz | Psychologist | 930 Eads Ave, Hebron, NE 68370-1420 | 2018-09-07 |
| 1952506743 | Kelcey Berg | Dentist | 124 N 5th St, Hebron, NE 68370-1512 | 2007-06-20 |
| 1912292038 | Jim Cossaart Dds | Dentist | 124 N 5th St, Hebron, NE 68370-1512 | 2011-06-16 |
| Find all providers in zip 68370 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
| 1912510504 | Sakrx LLC | Pharmacy | 5108 L St, Omaha, NE 68117-1330 | 2020-08-25 |
| 1831711050 | Kecrx LLC | Pharmacy | 12767 Q St, Omaha, NE 68137-3211 | 2020-05-11 |
| 1982224234 | Rom Pharm, LLC | Pharmacy | 10043 Scott Cir Ste 105, Omaha, NE 68122-3052 | 2020-04-16 |
| 1568095115 | Syracuse Town & Country Pharmacy, Inc | Pharmacy | 1710 Poplar, Syracuse, NE 68446-6844 | 2020-02-21 |
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1710460001 | Overton Community Pharmacy | Pharmacy | 509 C St, Overton, NE 68863-5351 | 2018-09-12 |
| 1235617648 | Curtis Discount Pharmacy Inc | Pharmacy | 115 Center Avenue, Curtis, NE 69025-6902 | 2018-07-30 |
| 1790276103 | Harris Apothecaries LLC | Pharmacy | 635 15th Ave, Franklin, NE 68939-1509 | 2018-05-21 |
| 1558875237 | Robert Moser Inc | Pharmacy | 1821 S 11th St, Nebraska City, NE 68410-3474 | 2017-11-17 |
| 1518484039 | Tooleys Osceola Pharmacy | Pharmacy | 415 Hawkeye St, Osceola, NE 68651-4474 | 2017-08-25 |
| 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.