1225077431 NPI number — NORTH PLATTE NEBRASKA HOSPITAL CORPORATION

Table of content: (NPI 1225077431)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225077431 NPI number — NORTH PLATTE NEBRASKA HOSPITAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH PLATTE NEBRASKA HOSPITAL CORPORATION
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:
1225077431
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
601 W LEOTA ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH PLATTE
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
69101-6598
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
308-696-7496
Provider Business Mailing Address Fax Number:
308-535-3410

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 E FRANCIS ST
Provider Second Line Business Practice Location Address:
SUITES 8 & 9
Provider Business Practice Location Address City Name:
NORTH PLATTE
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
69101-6796
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
308-696-7434
Provider Business Practice Location Address Fax Number:
308-535-7407
Provider Enumeration Date:
06/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CLAYMORE
Authorized Official First Name:
KRYSTAL
Authorized Official Middle Name:
R.
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
308-696-7496

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  511001 , 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)





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