Whalio Doctors

NPI 1093880072

Jennie M Melham Memorial Medical Center

Organisation Nursing Facility/Intermediate Care Facility Broken Bow, NE

Practice location

Address
145 Memorial Dr, Broken Bow, NE 68822-1378
Phone
(308) 872-2625
Fax
(308) 872-6116
Mailing address
PO Box 250, Broken Bow, NE 68822-0250

Authorised official

Name
Timothy L Schuckman
Title
Vice President-Cfo
Phone
(307) 872-2625

Registered specialties

Nursing Facility/Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence LTCH004 (NE)

Registry record

NPI
1093880072
Entity type
Organization
NPI issued
22 Nov 2006
Record last updated
10 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.