Healthcare Provider Details

I. General information

NPI: 1699719013
Provider Name (Legal Business Name): NEMAHA COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 02/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2022 13TH ST
AUBURN NE
68305-1799
US

IV. Provider business mailing address

2022 13TH ST
AUBURN NE
68305-1799
US

V. Phone/Fax

Practice location:
  • Phone: 402-274-6115
  • Fax: 402-274-6114
Mailing address:
  • Phone: 402-274-6115
  • Fax: 402-274-6114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number561001
License Number StateNE

VIII. Authorized Official

Name: MR. MARTIN L FATTIG
Title or Position: CEO
Credential:
Phone: 402-274-4366