JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC – NPI #1538232244
General Acute Care Hospital

JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC is a general acute care hospital located in BROKEN BOW, NE. NPPES has assigned the NPI number 1538232244 to JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC on November 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 3 years ago on Jul 31, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC below.

NPI Profile for
JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC

NPI Number
1538232244
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC
Primary location
145 MEMORIAL DR
BROKEN BOW, NE 68822-1378
Phone: (308) 872-4100 Fax: (308) 872-4175
Mailing address
PO BOX 250
BROKEN BOW, NE 68822-0250
Phone: (308) 872-4100 Fax: (308) 872-4175
Organization Subpart
No
Authorized Official
KYLE KELLUM
CEO AND PRESIDENT
Phone: (308) 872-4100
Updated
Certification Date
Jul 31, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE CROSS PROVIDER NUMBE0019
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)
NE 100004

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.