OrganizationActive
Merrick Medical Center
NPI 1790216174 · Emergency Medicine Physician · Central City, NE
Provider details
- NPI number
- 1790216174
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Merrick Medical Center
- Organization subpart
- Yes
- Authorized official
- Jodi Mohr, Ceo(402) 946-3015
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2802 28th St
Central City, NE 68826-2707
Phone: (308) 946-3015
Fax: (308) 946-5914
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 860874
Minneapolis, MN 55486-0874
Other names (DBA / former)
- Doing business as
- Merrick Medical Center Professional Services
Registry dates
- Enumerated
- 2017-03-27
- Last updated
- 2024-07-24
- Certified
- 2024-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.