NPIMap

Organization Active NPI

Antelope Memorial Hospital

Doing business as Amh Family Practice BCBS PCMH

  • Rural Health Clinic/Center
  • Neligh, NE
National Provider Identifier
1760025191
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ANTELOPE MEMORIAL HOSPITAL
Doing business as
Amh Family Practice BCBS PCMH
Practice address
109 W 11TH St
Neligh, NE 68756-1065
Phone
(402) 887-5440
Fax
(402) 887-4564
NPI assigned
Oct 17, 2019
Last updated
Nov 18, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ANTELOPE MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Ms. Diane M. Brugger
Title
Administrator
Phone
(402) 887-4151

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

109 W 11TH St
Neligh, NE 68756-1065

Mailing address

PO Box 109
Neligh, NE 68756-0109
Phone (402) 887-5440

Other names 1

  • AMH FAMILY PRACTICE BCBS PCMH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amh Family Practice10 organizations share this tax ID, including this one
Part of
Amh Family Practice

Other organizations with this tax ID 9

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": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1760025191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 109",
            "city": "NELIGH",
            "state": "NE",
            "postal_code": "687560109",
            "telephone_number": "402-887-5440",
            "fax_number": "402-887-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 11TH ST",
            "city": "NELIGH",
            "state": "NE",
            "postal_code": "687561065",
            "telephone_number": "402-887-5440",
            "fax_number": "402-887-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANTELOPE MEMORIAL HOSPITAL",
        "enumeration_date": "2019-10-17",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "BRUGGER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-887-4151",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMH FAMILY PRACTICE BCBS PCMH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMH FAMILY PRACTICE BCBS PCMH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neligh, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.