Organization Name: | GORDON MEMORIAL HOSPITAL |
NPI Number: | 1295828713 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEIDI CUSHING (CHIEF FINANCE OFFICER) |
Mailing Address: | 807 N Ash Gordon |
State: | NE US |
Postal Code: | 693431132 |
Phone Number: | 3082822200 |
Fax Number: | 3082821428 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 11/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |