MEDICARE: VALLEY COUNTY HOSPITAL

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427005800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY COUNTY HOSPITAL

Provider Business Mailing Address
First Line	:	2707 L ST
Second Line	:
City	:	ORD
State	:	NE
Zip	:	68862-1275
Country	:	US
Telephone Number	:	308-728-4200
Fax Number	:	308-728-7809

Provider Business Practice Location Address
First Line	:	111 SOUTH C STREET
Second Line	:
City	:	NORTH LOUP
State	:	NE
Zip	:	68859-6195
Country	:	US
Telephone Number	:	308-496-4464
Fax Number	:	308-496-3459

Authorized Official
Title or Position	:	CFO
Name	:	MS. ASHLEY M. WOODWARD
Credential	:
Telephone Number	:	308-728-4351

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	07/18/2012

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Directions to “VALLEY COUNTY HOSPITAL ” Practice Location

Language	Start Address	Practice Location

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