MEDICARE: COUNTY MEDICAL SERVICES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center		NE

General Provider Information

NPI Number	:	1174570758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY MEDICAL SERVICES INC.

Provider Business Mailing Address
First Line	:	PO BOX 467
Second Line	:
City	:	RED CLOUD
State	:	NE
Zip	:	68970-0467
Country	:	US
Telephone Number	:	402-746-2282
Fax Number	:	402-746-2300

Provider Business Practice Location Address
First Line	:	313 N WEBSTER ST
Second Line	:
City	:	RED CLOUD
State	:	NE
Zip	:	68970-2549
Country	:	US
Telephone Number	:	402-746-2282
Fax Number	:	402-746-2300

Authorized Official
Title or Position	:	ADMINISTRATOR/CEO
Name	:	MS. THERESA RIZZO
Credential	:
Telephone Number	:	308-425-6221

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	09/23/2015

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Directions to “COUNTY MEDICAL SERVICES INC. ” Practice Location

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