Healthcare Provider Details

I. General information

NPI: 1760464283
Provider Name (Legal Business Name): BROWN COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 08/15/2022
Certification Date: 08/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 E ZERO ST
AINSWORTH NE
69210-1556
US

IV. Provider business mailing address

945 E ZERO ST
AINSWORTH NE
69210-1556
US

V. Phone/Fax

Practice location:
  • Phone: 402-387-2800
  • Fax: 402-387-2804
Mailing address:
  • Phone: 402-387-2800
  • Fax: 402-387-2804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number060001
License Number StateNE

VIII. Authorized Official

Name: MIRYA HALLOCK
Title or Position: CEO
Credential:
Phone: 402-387-2800