JENNIE M MELHAM MEMORIAL MEDICAL CENTER
NPI 1265507677
Durable Medical Equipment & Medical Supplies in Broken Bow, NE
NPI Status: Active since November 21, 2006
Contact Information
145 MEMORIAL DR
BROKEN BOW, NE
ZIP 68822
Phone: (308) 872-2625
Fax: (308) 872-6116
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 28D0455865
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 05-03-2027
About JENNIE M MELHAM MEMORIAL MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Jennie M Melham Memorial Medical Center, a provider established in Broken Bow, Nebraska operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1265507677 assigned on November 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mr. Timothy L Schuckman (Vice President-cfo)
- NPI
- 1265507677
- Provider Name
- JENNIE M MELHAM MEMORIAL MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 145 MEMORIAL DR BROKEN BOW, NE 68822
- Location Phone
- (308) 872-2625
- Location Fax
- (308) 872-6116
- Mailing Address
- PO BOX 250 BROKEN BOW, NE 68822
- Mailing Phone
- (308) 872-2625
- Mailing Fax
- (308) 872-6116
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-21-2006
- Last Update Date
- 01-10-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332BX2000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 008977 | OTHER (01) | BLUE CROSS DME NUMBER |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 28D0455865
- Facility Type
- Hospital
- Certificate Effective Date
- May 04, 2025
- Certificate Expiration Date
- May 03, 2027
- Laboratory Director
- DR. BYRON L. BARKSDALE
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Jennie M Melham Memorial Medical Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1265507677, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
BROKEN BOW, NE 68822
BROKEN BOW, NE 68822
BROKEN BOW, NE 68822
BROKEN BOW, NE 68822
BROKEN BOW, NE 68822
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265507677, enumerated as an "organization" on November 21, 2006.
The provider is located at 145 MEMORIAL DR BROKEN BOW, NE 68822 and the phone number is (308) 872-2625.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
