Healthcare Provider Details

I. General information

NPI: 1336386564
Provider Name (Legal Business Name): NEMAHA VALLEY COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2009
Last Update Date: 06/25/2020
Certification Date: 06/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 5TH ST
AXTELL KS
66403-9623
US

IV. Provider business mailing address

1600 COMMUNITY DR
SENECA KS
66538-9739
US

V. Phone/Fax

Practice location:
  • Phone: 785-336-6107
  • Fax:
Mailing address:
  • Phone: 785-336-6107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STAN REGEHR
Title or Position: CEO
Credential:
Phone: 785-336-2189