NPIMap

Organization Active NPI

The Mary Lanning Memorial Hospital Association

Doing business as Primary Care Center-MLMH

  • Family Medicine Physician
  • Hastings, NE
National Provider Identifier
1245343607
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION
Doing business as
Primary Care Center-MLMH
Practice address
715 N Kansas Ave Ste 209
Hastings, NE 68901-4483
Phone
(402) 460-5836
NPI assigned
Aug 17, 2006
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

715 N Kansas Ave Ste 209
Hastings, NE 68901-4483

Mailing address

715 N Kansas Ave Ste 205
Hastings, NE 68901-4438
Phone (402) 461-5261

Other names 1

  • Primary Care Center-MLMH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000492 NE Part B Supplier - Clinic/Group Practice 4587575550 Receives reassigned benefits from 51 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Henderson, NE; Holdrege, NE; Kenesaw, NE; Lexington, NE; Lincoln, NE; McCook, NE; Minden, NE; North Platte, NE…

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory
Part of
Lanning Center for Beha

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1245343607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N KANSAS AVE STE 205",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014438",
            "telephone_number": "402-461-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N KANSAS AVE STE 209",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014483",
            "telephone_number": "402-460-5836"
        }
    ],
    "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": "2006-08-17",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Center-MLMH",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.