NPI 1306842604 · live from the CMS NPI Registry
Brodstone Memorial Hospital
General Acute Care Hospital, Critical Access in Superior, NE. National Provider Identifier 1306842604, active.
NPI record
| NPI | 1306842604 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | General Acute Care Hospital, Critical Access 282NC0060X |
| Practice location | 520 E 10th St, Superior, NE 68978 |
| Practice phone | 402-879-3281 |
| Mailing address | Po Box 187, Superior, NE 68978 |
| Enumerated | June 22, 2005 |
| Last updated | March 23, 2022 |
| Authorized official | Treg Vyzourek, Ceo |
| Other names | Brodstone Memorial Hospital; Brodstone Healthcare |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Acute Care Hospital, Critical Access primary | 282NC0060X | 570001 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.