1356378459 NPI number — COMMUNITY HOSPITAL ASSOCIATION

Table of content: DR. THOMAS RYAN WAPPAT PH.D. (NPI 1134537368)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356378459 NPI number — COMMUNITY HOSPITAL ASSOCIATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMMUNITY HOSPITAL ASSOCIATION
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:
1356378459
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/14/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1328
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MC COOK
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
69001-1328
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
308-344-8303
Provider Business Mailing Address Fax Number:
308-344-8572

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
406 E 1ST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TRENTON
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
69044-1715
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
308-334-5155
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BRUNTZ
Authorized Official First Name:
TROY
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT & CEO
Authorized Official Telephone Number:
308-344-8315

Provider Taxonomy Codes

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

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





Copyright © 2007-2025 www.npivalidator.com