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NPI Code Detail

MEDICARE: COZAD COMMUNITY HOSPITAL

MEDICARE: COZAD COMMUNITY 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
1251G00000XCommunity Based Hospice Care AgencyHOSPICE 6NE

General Provider Information

NPI Number : 1649561010
Entity Type Code : Organization
Provider Name (Legal Business Name) : COZAD COMMUNITY HOSPITAL
Provider Business Mailing Address
First Line : 835 MERIDIAN AVE
Second Line :
City : COZAD
State : NE
Zip : 69130-1754
Country : US
Telephone Number : 308-784-4630
Fax Number : 308-784-4635
Provider Business Practice Location Address
First Line : 835 MERIDIAN AVE
Second Line :
City : COZAD
State : NE
Zip : 69130-1754
Country : US
Telephone Number : 308-784-4630
Fax Number : 308-784-4635
Authorized Official
Title or Position : ADMINISTRATOR
Name : DANIELLE L GEARHART
Credential :
Telephone Number : 308-784-2261
Provider Enumeration Date : 04/20/2011
Last Update Date : 10/28/2020

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Directions to “COZAD COMMUNITY HOSPITAL ” Practice Location

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