NPIMap

Organization Active NPI

The Mary Lanning Memorial Hospital Association

  • Pulmonary Disease Physician
  • Grand Island, NE
National Provider Identifier
1497952725
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION
Practice address
908 N Howard Ave
Grand Island, NE 68803-3556
Phone
(308) 384-4085
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Mr. Bradley D Neet, RN
Title
President/Ceo
Phone
(402) 461-5108

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

908 N Howard Ave
Grand Island, NE 68803-3556

Mailing address

715 N Kansas Ave
Suite 208
Hastings, NE 68901-4453
Phone (402) 460-5787

Other identifiers 1

IdentifierTypeStateIssuer
10025483300MedicaidNE

Other names 1

  • Pulmonary & Sleep Clinic-Grand Island 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

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1497952725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N KANSAS AVE",
            "address_2": "SUITE 208",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014453",
            "telephone_number": "402-460-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N HOWARD AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033556",
            "telephone_number": "308-384-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "NEET",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "402-461-5108",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025483300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulmonary & Sleep Clinic-Grand Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.