Provider Demographics
NPI:1336243559
Name:ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER
Entity Type:Organization
Organization Name:ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:LOHRMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-747-2031
Mailing Address - Street 1:PO BOX 428
Mailing Address - Street 2:
Mailing Address - City:OSCEOLA
Mailing Address - State:NE
Mailing Address - Zip Code:68651-0428
Mailing Address - Country:US
Mailing Address - Phone:402-747-2031
Mailing Address - Fax:402-747-1405
Practice Address - Street 1:531 BEEBE ST
Practice Address - Street 2:
Practice Address - City:OSCEOLA
Practice Address - State:NE
Practice Address - Zip Code:68651-5537
Practice Address - Country:US
Practice Address - Phone:402-747-2031
Practice Address - Fax:402-747-1405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE640001282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE00077OtherBCBS OF NE (HOSPITAL)
NE08531OtherBCBS OF NE (CRNAS/EKGS)
NE=========00Medicaid
NE00077OtherBCBS OF NE (HOSPITAL)
NE=========00Medicaid
NECO4232Medicare PIN