Provider Demographics
NPI:1396040259
Name:HOWARD COUNTY MEDICAL CENTER
Entity Type:Organization
Organization Name:HOWARD COUNTY MEDICAL CENTER
Other - Org Name:GREELEY MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-754-4421
Mailing Address - Street 1:P.O. BOX 406
Mailing Address - Street 2:1113 SHERMAN ST
Mailing Address - City:SAINT PAUL
Mailing Address - State:NE
Mailing Address - Zip Code:68873-0406
Mailing Address - Country:US
Mailing Address - Phone:308-754-4421
Mailing Address - Fax:308-754-2303
Practice Address - Street 1:109 W OCONNOR AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:NE
Practice Address - Zip Code:68842
Practice Address - Country:US
Practice Address - Phone:308-754-4421
Practice Address - Fax:308-754-2303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-24
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty