1184642894 NPI number — BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC

Table of content: (NPI 1184642894)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184642894 NPI number — BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC
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:
1184642894
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/05/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 278
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEATRICE
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68310-0278
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-228-3344
Provider Business Mailing Address Fax Number:
402-223-7299

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4800 HOSPITAL PARKWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEATRICE
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68310-6906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-228-3344
Provider Business Practice Location Address Fax Number:
402-223-7299
Provider Enumeration Date:
07/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HARALDSON
Authorized Official First Name:
RICK
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
402-223-7284

Provider Taxonomy Codes

  • Taxonomy code: 282NC0060X , with the licence number:  H000119 , 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: 011528700 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100101150A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0126060 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108913802 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100694350A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5526060 , issued by the state of ( SD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0990226 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 95015665 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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