Healthcare Provider Details

I. General information

NPI: 1003027442
Provider Name (Legal Business Name): JOHNSON COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 01/19/2022
Certification Date: 01/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 MAIN ST SUITE A
ADAMS NE
68301-8277
US

IV. Provider business mailing address

PO BOX 538
TECUMSEH NE
68450-0538
US

V. Phone/Fax

Practice location:
  • Phone: 402-988-2188
  • Fax: 402-988-2203
Mailing address:
  • Phone: 402-335-2811
  • Fax: 402-335-2826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARY JANE KENT
Title or Position: CEO
Credential:
Phone: 402-335-3361