1598848723 NPI number — WEST HOLT MEMORIAL HOSPITAL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598848723 NPI number — WEST HOLT MEMORIAL HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WEST HOLT MEMORIAL HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BASSETT FAMILY CLINIC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598848723
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 458
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATKINSON
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68713-0458
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-684-3245
Provider Business Mailing Address Fax Number:
402-684-3246

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
103 CLARK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BASSETT
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68714-6012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-684-3245
Provider Business Practice Location Address Fax Number:
402-684-3246
Provider Enumeration Date:
10/23/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LINSE
Authorized Official First Name:
MARGARET
Authorized Official Middle Name:
A
Authorized Official Title or Position:
HR
Authorized Official Telephone Number:
402-925-2811

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)