| Organization Name: | GOTHENBURG MEMORIAL HOSPITAL |
| NPI Number: | 1477953305 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL BRANT (CEO) |
| Mailing Address: | 918 20th St Gothenburg |
| State: | NE US |
| Postal Code: | 691381237 |
| Phone Number: | 3085373661 |
| Fax Number: | 3085373074 |
| NPI Enumeration Date: | 08/28/2014 |
| NPI Last Update Date: | 08/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 220002 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |