Organization Active NPI

The Mary Lanning Memorial Hospital Association

Doing business as MLMH ER Professional Services

  • Emergency Medicine Physician
  • Hastings, NE
National Provider Identifier
1083930507
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION
Doing business as
MLMH ER Professional Services
Practice address
715 North St. Joseph Avenue
Hastings, NE 68901-4497
Phone
(402) 463-4521
Fax
(402) 461-5321
NPI assigned
Apr 8, 2010
Last updated
Sep 12, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Eric A Barber
Title
Ceo
Phone
(402) 461-5108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

715 North St. Joseph Avenue
Hastings, NE 68901-4497

Mailing address

715 North St. Joseph Avenue
Hastings, NE 68901-4497
Phone (402) 463-4521

Other names 1

  • MLMH ER Professional Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080922000295 NE Part B Supplier - Clinic/Group Practice 4587575550 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: York, NE; Superior, NE; Red Cloud, NE; Minden, NE; Henderson, NE; Hastings, NE; Grand Island, NE; Holdrege, NE

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0456093Mary Lanning Memorial Hospital715 N St Joseph Ave, Hastings, NE 68901AccreditationFeb 8, 2027

National Provider Directory

National Provider Directory
Part of
Blue Hill Clinicmlmh

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1083930507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 NORTH ST. JOSEPH AVENUE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014497",
            "telephone_number": "402-463-4521",
            "fax_number": "402-461-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 NORTH ST. JOSEPH AVENUE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014497",
            "telephone_number": "402-463-4521",
            "fax_number": "402-461-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION",
        "enumeration_date": "2010-04-08",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-461-5108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MLMH ER Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.