Healthcare Provider Details

I. General information

NPI: 1164691531
Provider Name (Legal Business Name): BOX BUTTE GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2008
Last Update Date: 03/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2091 BOX BUTTE AVE SUITE 700
ALLIANCE NE
69301-4452
US

IV. Provider business mailing address

PO BOX 810
ALLIANCE NE
69301-0810
US

V. Phone/Fax

Practice location:
  • Phone: 308-762-7244
  • Fax: 308-762-6657
Mailing address:
  • Phone: 308-762-6660
  • Fax: 308-762-1923

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: MR. DANIEL W. GRIESS
Title or Position: CEO
Credential:
Phone: 308-762-6660