NPIMap

Organization Active NPI

Pender Community Hospital District

  • Certified Registered Nurse Anesthetist
  • Pender, NE
National Provider Identifier
1609002161
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
PENDER COMMUNITY HOSPITAL DISTRICT
Practice address
100 Hospital Dr
Pender, NE 68047-4507
Phone
(402) 385-3083
Fax
(402) 385-4041
NPI assigned
Jun 10, 2009
Last updated
Oct 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Authorized official

Name
Laura J Gamble
Title
Ceo
Phone
(402) 385-3083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

100 Hospital Dr
Pender, NE 68047-4507

Mailing address

PO Box 100
Pender, NE 68047-0100
Phone (402) 385-3083

Other practice location 1

603 Earl St
Pender, NE 68047
Phone (402) 385-3083

Other identifiers 1

IdentifierTypeStateIssuer
08533OtherNEALL PAYERS

National Provider Directory

National Provider Directory
Tax ID family
Siouxld Radiology Partn8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1609002161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "PENDER",
            "state": "NE",
            "postal_code": "680470100",
            "telephone_number": "402-385-3083",
            "fax_number": "402-385-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "PENDER",
            "state": "NE",
            "postal_code": "680474507",
            "telephone_number": "402-385-3083",
            "fax_number": "402-385-4041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 Earl St",
            "address_purpose": "LOCATION",
            "city": "Pender",
            "state": "NE",
            "postal_code": "68047",
            "country_code": "US",
            "telephone_number": "402-385-3083",
            "fax_number": "402-385-4041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENDER COMMUNITY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-385-3083"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL PAYERS",
            "identifier": "08533",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pender, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.