Elmwood Hometown Healthcare LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ELMWOOD HOMETOWN HEALTHCARE LLC

Practice address

140 N 4TH St
Elmwood, NE 68349-2269

Phone

(402) 659-8893

Fax

(402) 994-4099

NPI assigned

Nov 7, 2022

Last updated

Nov 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tami Jo Mayberry, ARNPNPI 1225529563

Title

Authorized Official

Phone

(402) 659-9084

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tami Jo Mayberry, ARNP

  • Family Nurse Practitioner
  • Elmwood, NE
  • NPI 1225529563
  Authorized official Same address or phone

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1639887854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N 4TH ST",
            "city": "ELMWOOD",
            "state": "NE",
            "postal_code": "683492269",
            "telephone_number": "402-659-8893",
            "fax_number": "402-994-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N 4TH ST",
            "city": "ELMWOOD",
            "state": "NE",
            "postal_code": "683492269",
            "telephone_number": "402-659-8893",
            "fax_number": "402-994-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMWOOD HOMETOWN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "MAYBERRY",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "402-659-9084",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Lynn Boeckman, PTA
• Faye Marie Bykerk, PLMHP
• Campbell Chiropractic and Physical Medicine Center, LLC (Elmwood Physical Medicine and Chiropractic Center)
• Elissa McGill Consulting Services, Inc
• Elmwood Rural Fire District (Elmwood Rescue)
• Elmwood-Murdock Public Schools
• Tracey Lynn Hamor
• Bobbi M Hohman
• Bryan Edward Hufstader, D.C.

• Primary Care Clinic/Center in Elmwood, NE
• Providers in Elmwood, NE by specialty
• Primary Care Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.