MEDICARE: RED WILLOW COUNTY HILLCREST NURSING HOME

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	314000000X	Skilled Nursing Facility	654001	NE

General Provider Information

NPI Number	:	1194703769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RED WILLOW COUNTY HILLCREST NURSING HOME

Provider Business Mailing Address
First Line	:	PO BOX 1087
Second Line	:
City	:	MC COOK
State	:	NE
Zip	:	69001-1087
Country	:	US
Telephone Number	:	308-345-4600
Fax Number	:	308-345-4737

Provider Business Practice Location Address
First Line	:	309 W 7TH ST
Second Line	:
City	:	MC COOK
State	:	NE
Zip	:	69001-3507
Country	:	US
Telephone Number	:	308-345-4600
Fax Number	:	308-345-4737

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	RENEE WRIGHT
Credential	:
Telephone Number	:	308-345-4600

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	12/18/2024

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