Provider Demographics
NPI:1104108141
Name:THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION
Entity type:Organization
Organization Name:THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-463-4521
Mailing Address - Street 1:715 NORTH ST. JOSEPH AVENUE
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-4451
Mailing Address - Country:US
Mailing Address - Phone:402-460-5868
Mailing Address - Fax:402-461-5091
Practice Address - Street 1:1710 IDAHO STREET
Practice Address - Street 2:GOOD SAMARITAN SOCIETY - SUPERIOR
Practice Address - City:SUPERIOR
Practice Address - State:NE
Practice Address - Zip Code:68978-9574
Practice Address - Country:US
Practice Address - Phone:402-879-4791
Practice Address - Fax:402-879-3149
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-15
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based