| Organization Name: | GORDON MEMORIAL HOSPITAL |
| NPI Number: | 1326182494 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAY W. GARCIA (CEO) |
| Mailing Address: | 807 N Ash St Gordon |
| State: | NE US |
| Postal Code: | 693431132 |
| Phone Number: | 3082822200 |
| Fax Number: | 3082821428 |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 03/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 730001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |