OrganizationActive
Jennie M Melham Memorial Medical Center
NPI 1093880072 · Nursing Facility/Intermediate Care Facility · Broken Bow, NE
Provider details
- NPI number
- 1093880072
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Schuckman, Vice President-Cfo(307) 872-2625
- License
- LTCH004 (NE)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
145 Memorial Dr
Broken Bow, NE 68822-1378
Phone: (308) 872-2625
Fax: (308) 872-6116
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 250
Broken Bow, NE 68822-0250
Other names (DBA / former)
- Other name
- Jennie M. Melham Memorial Medical Center-Ltc
- Other name
- Jennie M. Melham Memorial Medical Center-Ltc
Registry dates
- Enumerated
- 2006-11-22
- Last updated
- 2020-01-10
- Certified
- 2020-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.