Superior Family Medical Center

LBN: Brodstone Memorial Hospital
Superior Family Medical Center is an health care organization with primary practice located at 525 E 11Th St , Superior NE 68978-1101. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Brodstone Memorial Hospital can be contacted via phone (402) 879-4781, or through Vyzourek, Treg via phone (402) 879-3281.

Contact Information

Primary practice address
525 E 11Th St Superior NE 68978-1101
Phone: (402) 879-4781
Fax: (402) 879-3365
Website:
Map and Directions
Authorized official contact:
Name: Vyzourek, Treg
Phone: (402) 879-3281

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1073590626
LBN Legal business name Brodstone Memorial Hospital
DBA Doing business as Superior Family Medical Center
Authorized official Vyzourek, Treg
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 26th, 2005
Last updated Mar 23rd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073590626 NPPES
Nebraska MEDICAID 10025177900

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