Jennie M Melham Memorial Medical Center
Hospice Care, Community Based in Broken Bow, NE. Organization (NPI-2).
NPI number1245305655
StatusActive
Last updated in NPPESJan 10, 2020
Details
- NPI
- 1245305655
- Entity type
- Organization (NPI-2)
- Legal business name
- Jennie M Melham Memorial Medical Center
- Organization subpart
- No
- Enumeration date
- Nov 21, 2006
- Certification date
- Jan 10, 2020
- Last updated
- Jan 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251G00000X | Hospice Care, Community Based | – | – | Yes |
Other names
- Custer County Hospice (Other Name)
Practice location
145 Memorial DrBroken Bow, NE 68822-1378
Phone 308-872-2625 · Fax 308-872-6116
Mailing address
Po Box 250Broken Bow, NE 68822-0250
Phone 308-872-2625 · Fax 308-872-6116
Authorized official
Timothy L Schuckman
Vice President-Cfo
3088722625
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