MEDICARE: WEBSTER COUNTY 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
1	282NC0060X	Critical Access Hospital	810001	NE
2	282NC0060X	Critical Access Hospital

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0093	OTHER		BLUE CROSS

General Provider Information

NPI Number	:	1811968076
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEBSTER COUNTY COMMUNITY HOSPITAL

Provider Business Mailing Address
First Line	:	6TH STREET AND FRANKLIN STREET
Second Line	:
City	:	RED CLOUD
State	:	NE
Zip	:	68970
Country	:	US
Telephone Number	:	402-746-5600
Fax Number	:	402-746-5687

Provider Business Practice Location Address
First Line	:	6TH STREET AND FRANKLIN STREET
Second Line	:
City	:	RED CLOUD
State	:	NE
Zip	:	68970
Country	:	US
Telephone Number	:	402-746-5600
Fax Number	:	402-746-5687

Authorized Official
Title or Position	:	OFF MGR
Name	:	MARCIA L OLSON
Credential	:
Telephone Number	:	402-746-5628

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	04/07/2010

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Directions to “WEBSTER COUNTY COMMUNITY HOSPITAL ” Practice Location

Language	Start Address	Practice Location

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