1184934424 NPI number — WEBSTER COUNTY COMMUNITY HOSPITAL

Table of content: (NPI 1184934424)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184934424 NPI number — WEBSTER COUNTY COMMUNITY HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WEBSTER COUNTY COMMUNITY HOSPITAL
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:
6
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:
1184934424
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/03/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 465
Provider Second Line Business Mailing Address:
6TH STREET AND FRANKLIN STREET
Provider Business Mailing Address City Name:
RED CLOUD
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68970
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-746-5600
Provider Business Mailing Address Fax Number:
402-746-5687

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
102 N PINE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BLUE HILL
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68930-5532
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-746-2141
Provider Business Practice Location Address Fax Number:
402-756-2142
Provider Enumeration Date:
10/20/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
COOK
Authorized Official First Name:
LAMONT
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
402-746-5600

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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