Phelps Memorial Health Center

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

N/A Issued in NE

Legal business name

PHELPS MEMORIAL HEALTH CENTER

Practice address

1215 Tibbals St
Holdrege, NE 68949-1255

Phone

(308) 995-2211

Fax

(308) 995-3223

NPI assigned

May 3, 2006

Organization subpart

Yes

Parent organization

PHELPS MEMORIAL HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Mark D Harrel

Title

Ceo

Phone

(308) 995-2211

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Phelps Memorial Health CT

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Phelps Memorial Health Center

  • Critical Access Hospital
  • Holdrege, NE
  • NPI 1629035936
  NPPES parent name

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1477511822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 TIBBALS ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491255",
            "telephone_number": "308-995-2211",
            "fax_number": "308-995-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 TIBBALS ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491255",
            "telephone_number": "308-995-2211",
            "fax_number": "308-995-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELPS MEMORIAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHELPS MEMORIAL HEALTH CENTER",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "HARREL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-995-2211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NE",
            "license": "N/A",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NE",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DME",
            "identifier": "09036",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberlee Penny, R.N.
• Hulda Peterson
• Jacob Christopher Peterson, M.D.
• Dana Petit
• Phelps County School District 69-0044
• Phelps Memorial Health Center
• Phelps Memorial Health Center
• Phelps Memorial Health Center
• Phelps Memorial Health Center
• Phelps Memorial Health Center

• Oxygen Equipment & Supplies (DME) in Holdrege, NE
• Providers in Holdrege, NE by specialty
• Oxygen Equipment & Supplies (DME) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.