Organization · Type 2 NPI
Brodstone Memorial Hospital
Rural Health Clinic/Center · Superior, NE
NPI number
1073590626
Active
Practice location
525 E 11th St
Superior, NE 68978-1101
Fax (402) 879-3365
Mailing address
PO Box 407
Superior, NE 68978-0407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | None listed |
| Neurological Surgery Physician | 207T00000X | None listed |
| Neurocritical Care Physician | 2084A2900X | None listed |
| Neurology Physician | 2084N0400X | None listed |
| Vascular Neurology Physician | 2084V0102X | None listed |
| Hospitalist Physician | 208M00000X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Rural Health Clinic/Center: Definition to come...
7 other providers at this address
- Alisha Fangmeyer, APRNFamily Nurse Practitioner Superior, NE NPI 1568756609
- Jason G. Hass, P.A.Physician Assistant Superior, NE NPI 1831176486
- Julie A. Theis, MDFamily Medicine Physician Superior, NE NPI 1295712842
- Matthew Gatlin, PA-CPhysician Assistant Superior, NE NPI 1245552140
- Robert G. Leibel, MDFamily Medicine Physician Superior, NE NPI 1578540126
- Teresa B. Frahm, NPNurse Practitioner Superior, NE NPI 1477530020
- Timothy Blecha, MDFamily Medicine Physician Superior, NE NPI 1790777936
About NPI 1073590626
Brodstone Memorial Hospital's National Provider Identifier is 1073590626, issued on Dec 26, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Superior, NE. The record was last updated on Feb 12, 2025.