1396782439 NPI number — BUTLER COUNTY HEALTH CARE CENTER

Table of content: (NPI 1396782439)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396782439 NPI number — BUTLER COUNTY HEALTH CARE CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BUTLER COUNTY HEALTH CARE CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396782439
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
372 S 9TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DAVID CITY
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68632-2116
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-367-1200
Provider Business Mailing Address Fax Number:
402-367-1350

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
104 N RAILWAY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PRAGUE
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-663-5212
Provider Business Practice Location Address Fax Number:
402-663-5213
Provider Enumeration Date:
05/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NAIBERK
Authorized Official First Name:
DONALD
Authorized Official Middle Name:
T
Authorized Official Title or Position:
CEO ADMINISTRATOR
Authorized Official Telephone Number:
402-367-1200

Provider Taxonomy Codes

  • Taxonomy code: 261QR1300X , with the licence number:  090001 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0548 . This is a "RURAL HEALTH CLINIC-PRAGU" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 0100260 . This is a "RURAL HEALTH CLINIC-PRAGU" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 2021 . This is a "RURAL HEALTH CLINIC-PRAGU" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 38721 . This is a "RURAL HEALTH CLINIC-PRAGU" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 23041 . This is a "RURAL HEALTH CLINIC-PRAGU" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 0100348 . This is a "RURAL HEALTH CLINIC-PRAGU" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 30847 . This is a "RURAL HEALTH CLINIC-PRAGU" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 2017 . This is a "RURAL HEALTH CLINIC-PRAGU" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".




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