JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC
NPI 1366659773
Nurse Anesthetist, Certified Registered in Broken Bow, NE

Q: What is Jennie M Melham Memorial Medical Center Inc's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since May 16, 2007

145 MEMORIAL DR, BROKEN BOW, NE 68822(308) 872-4100(308) 872-4175 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2023, Jan 14, 2022, Oct 7, 2021 (3 updates tracked since 2021).

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About Jennie M Melham Memorial Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC (NPI 1366659773) is a healthcare organization registered as a nurse anesthetist, certified registered in Broken Bow, Nebraska and active in the NPI registry since May 2007. The organization lists Kyle D Kellum, Ceo And President, as its authorized official.

NPPES Registry Identity

NPI1366659773

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameJENNIE M MELHAM MEMORIAL MEDICAL CENTER INC

Location Address145 MEMORIAL DRBroken Bow, NE 68822-1378

Mailing AddressPo Box 250Broken Bow, NE 68822-0250 · (308) 872-4100 · Fax (308) 872-4175

Phone(308) 872-4100

Fax(308) 872-4175

Organization SubpartYes

Authorized OfficialKyle D KellumCeo And President · (308) 872-4100

Enumeration DateMay 16, 2007

Last NPPES UpdateJuly 31, 20233 updates tracked since enumeration

NPPES CertifiedJuly 31, 2023

✔ NPI 1366659773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

145 MEMORIAL DR, Broken Bow, NE 68822

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Other Identifiers 4

Other07073NE · Blue Cross Crna Number

Medicaid10025055300NE

Other81010NE · Blue Cross Diabetic Ed No

OtherDB7316NE · Railroad Medicare Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIE M MELHAM MEMORIAL MEDICAL CENTER

Nursing Facility/Intermediate Care Facility