Healthcare Provider Details

I. General information

NPI: 1205416815
Provider Name (Legal Business Name): NEMAHA VALLEY COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 04/09/2021
Certification Date: 03/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 COMMUNITY DR
SENECA KS
66538-9739
US

IV. Provider business mailing address

1600 COMMUNITY DR
SENECA KS
66538-9739
US

V. Phone/Fax

Practice location:
  • Phone: 785-336-6181
  • Fax:
Mailing address:
  • Phone: 785-336-6181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: LORI A HUERTER
Title or Position: OFFICE MANAGER
Credential:
Phone: 785-336-0439